Individual provider Active NPI

Amy Lynn Owens, PTA, LMT

  • Physical Therapy Assistant
  • Arnold, MD
National Provider Identifier
1952575805
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A2694 Issued in MD
Practice address
273 Peninsula Farm Rd
Building 2 Suite C
Arnold, MD 21012-1012
Phone
(410) 975-5343
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A2694 MD Primary
Massage Therapist 225700000X MO4549 MD

Addresses

Primary practice location

273 Peninsula Farm Rd
Building 2 Suite C
Arnold, MD 21012-1012

Mailing address

273 Peninsula Farm Rd
Buidling 2 Suite C
Arnold, MD 21012-1012
Phone (410) 975-5343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A2694MDMDPhysical Therapy Assistant
MO4549MDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Virtuous Wellness Center Current Accepting new patients
Virtuous Wellness Center Physical Therapy Assistant CurrentSince Dec 1, 2016 Accepting new patients

Locations

273 Peninsula Farm Rd
Ste C
Arnold, MD 21012
Phone (410) 975-5343

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1952575805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 PENINSULA FARM RD",
            "address_2": "BUIDLING 2 SUITE C",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121012",
            "telephone_number": "410-975-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 PENINSULA FARM RD",
            "address_2": "BUILDING 2 SUITE C",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121012",
            "telephone_number": "410-975-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PTA, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2694",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "MO4549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.