Joshua L. Owens, LICENSE PHYSICAL THE
Individual provider Active NPI Physical Therapy Assistant · Chilkowie, VA
NPI 1962645945 · NPPES record last updated Apr 7, 2009
Key facts
- NPI
- 1962645945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306602614 (VA)
- Practice address
- 104 N. Sanders Ave
Heartland Rehabilitation Services of Virginia, Inc.
Chilkowie, VA 24319 - Phone
- (276) 646-8774
- Fax
- (276) 646-5576
- NPI assigned
- Apr 7, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602614 | VA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602614 | VA | Yes |
Addresses
Primary practice location
104 N. Sanders Ave
Heartland Rehabilitation Services of Virginia, Inc.
Chilkowie, VA 24319
Mailing address
P.O. Box 1657
104 N. Sanders Ave. Heartland Rehabilitation Services O
Chilkowie, VA 24319
Phone (276) 646-8774
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2009. 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.