Individual provider Active NPI

David Gerald McEowen, DPT

  • Physical Therapist
  • Cedar Rapids, IA
National Provider Identifier
1043474224
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004261 Issued in IA
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

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20091027000711 IA Practitioner - Physical Therapist in Private Practice 8820135692 Reassigns benefits to 1 organization

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
Match Play Tennis Centers IncGroup PAC ID 0042262008, 13 clinicians

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

LicenseStateTypeSpecialty
004261IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Match Play Tennis Centers, Inc. CurrentSince Jun 18, 2014 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.

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.

Verify at the official NPI Registry.