Active NPI
David Gerald McEowen, DPT
- Physical Therapist
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004261
- Practice address
- 1220 Jacolyn Dr SW
Cedar Rapids, IA 52404-1288 - Phone
- (319) 936-0222
- NPI assigned
- Jul 16, 2008
- 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 | 004261 | IA | Primary |
Addresses
Primary practice location
1220 Jacolyn Dr SW
Cedar Rapids, IA 52404-1288
Mailing address
400 Collins Rd NE
# 154-100
Cedar Rapids, IA 52498-0505
Phone (515) 633-7836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Collins Rd NE
Cedar Rapids, IA 52498-0505
Phone (319) 295-8899
400 Collins Rd NE Ms
Suite 100
Cedar Rapids, IA 52498-0505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004261 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Match Play Tennis Centers, Inc. | Current | Accepting new patients |
Locations
400 Collins Rd NE
#154100
Cedar Rapids, IA 52498
Phone (319) 295-8899
400 Collins Rd NE
#154
Cedar Rapids, IA 52498
Phone (319) 295-8899
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Cedar Rapids, IA
- NPI 1760540926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1043474224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COLLINS RD NE",
"address_2": "# 154-100",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524980505",
"telephone_number": "515-633-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 JACOLYN DR SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524041288",
"telephone_number": "319-936-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEOWEN",
"first_name": "DAVID",
"middle_name": "GERALD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-16",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.