Active NPI
Andrew R. McEowen, P.T.
- Physical Therapist
- Hemet, CA
National Provider Identifier
1023327798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37071
- Practice address
- 1515 W Florida Ave
Suite E
Hemet, CA 92543-3817 - Phone
- (951) 658-3121
- Fax
- (951) 652-6994
- NPI assigned
- Sep 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT37071 | CA | Primary |
Addresses
Primary practice location
1515 W Florida Ave
Suite E
Hemet, CA 92543-3817
Mailing address
1515 W Florida Ave
Suite E
Hemet, CA 92543-3817
Phone (951) 658-3121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT37071 | Other | CA | LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT37071 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1023327798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 W FLORIDA AVE",
"address_2": "SUITE E",
"city": "HEMET",
"state": "CA",
"postal_code": "925433817",
"telephone_number": "951-658-3121",
"fax_number": "951-652-6994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W FLORIDA AVE",
"address_2": "SUITE E",
"city": "HEMET",
"state": "CA",
"postal_code": "925433817",
"telephone_number": "951-658-3121",
"fax_number": "951-652-6994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEOWEN",
"first_name": "ANDREW",
"middle_name": "R.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-29",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT37071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PT37071",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.