Mark Allan Owen, PT
Individual provider Active NPI Physical Therapist · Madisonville, KY
NPI 1891022604 · NPPES record last updated Jan 18, 2010
Key facts
- NPI
- 1891022604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 000976 (KY)
- Practice address
- 444 S Main St
Madisonville, KY 42431-2846 - Phone
- (270) 825-0069
- Fax
- (270) 824-9777
- NPI assigned
- Nov 16, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000976 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyon County Emergency Ambulance Service | Past |
Accepting new patients | |
| C&O Rehabilitation & Fitness, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 000976 | KY | Yes |
Addresses
Primary practice location
444 S Main St
Madisonville, KY 42431-2846
Mailing address
444 S Main St
Madisonville, KY 42431-2846
Phone (270) 825-0069
Other providers in Madisonville, KY
- Ohearn Medical, PLLC
- Ohio Valley Neurology LLC
- Heather Pendergraff Oldham
- Omni Visions, Inc
- Roger E Ordal
- Owensboro Health Medical Group, Inc
- Owensboro Health Medical Group, Inc
- Owensboro Health Medical Group, Inc.
- Owensboro Health Medical Group, Inc.
- Owensboro Health Medical Group, Inc.
All providers in Madisonville, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.