Jacob Cowan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

11710 Wilshire Blvd
Los Angeles, CA 90025-1503

Phone

(310) 494-1422

NPI assigned

Mar 24, 2018

Last updated

Mar 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521849600000",
    "number": "1023513991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 AIRLANE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454102",
            "telephone_number": "310-808-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251503",
            "telephone_number": "310-494-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "JACOB",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-24",
        "last_updated": "2018-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jean Covington, M.D.
• Tylene Covington
• Amanda Cowan
• Connell O'Brien Cowan, PHD
• Hope Cowan
• Linda S Cowan, M.D.
• Makeda B. Cowan, RN
• Ned Nathaniel Cowan, M.D.
• Melissa H Cowell, MD
• Robert Cowell, RPT

• Physical Therapy Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2018; 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.