IndividualActive
Jessica Owens, PT
NPI 1619773231 · Pediatric Physical Therapist · Summerville, SC
Provider details
- NPI number
- 1619773231
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 1406127 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
105 Harth Pl Ste B
Summerville, SC 29485-8107
Phone: (843) 594-3165
Approximate (ZIP-level) locationGet directions
Mailing address
3000 Cypress Lake Rd Apt 3202
North Charleston, SC 29420-8996
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.