Laura Jean McGowan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

050250 Issued in NY

Practice address

620 Westfall Rd
Rochester, NY 14620-4610

Phone

(585) 461-8500

NPI assigned

Jul 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Jean Miller Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment NPD
• Monroe Ddso Clinic Pittsford

  • Developmental Disabilities Clinic/Center
  • Pittsford, NY
  • NPI 1063546778
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1003594052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 EAST ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721229",
            "telephone_number": "585-749-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WESTFALL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204610",
            "telephone_number": "585-461-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MILLER",
            "middle_name": "JEAN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lily McGovern, MD
• Patricia McGovern, RN
• Kadijah L McGowan-Green, LPN
• Cara McGowan
• Jermaine McGowan
• Emily Loomis McGrain, PT
• Brianna Lynn McGrath
• Bryn M McGrath
• Katherine Rose McGrath, MT-BC
• Kathleen A McGrath, NP

• Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.