Individual provider Active NPI

Brian Owens, PT

  • Physical Therapist
  • Sioux City, IA
National Provider Identifier
1962444331
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1023 Issued in IA
Practice address
5885 Sunnybrook Dr
Suite E-100
Sioux City, IA 51106-4203
Phone
(712) 266-2700
Fax
(712) 266-2719
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1023 IA Primary
Physical Therapist 225100000X 1208 NE
Physical Therapist 225100000X 1160 SD

Addresses

Primary practice location

5885 Sunnybrook Dr
Suite E-100
Sioux City, IA 51106-4203

Mailing address

5885 Sunnybrook Dr
Suite E-100
Sioux City, IA 51106-4203
Phone (712) 266-2700

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1023IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Health Resources Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1962444331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 SUNNYBROOK DR",
            "address_2": "SUITE E-100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-266-2700",
            "fax_number": "712-266-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 SUNNYBROOK DR",
            "address_2": "SUITE E-100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-266-2700",
            "fax_number": "712-266-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "BRIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "1023",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1208",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.