Individual provider Active NPI

George Towers Rowland III, PT, OCS, CERT.MDT

  • Physical Therapist
  • Haddon Township, NJ
National Provider Identifier
1114929692
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00248000 Issued in NJ
Practice address
121 Lees LN
Haddon Township, NJ 08107-1030
Phone
(856) 858-8222
Fax
(856) 858-8222
NPI assigned
Aug 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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 40QA00248000 NJ Primary

Addresses

Primary practice location

121 Lees LN
Haddon Township, NJ 08107-1030

Mailing address

121 Lees LN
Haddon Township, NJ 08107-1030
Phone (856) 858-8222

Other identifiers 1

IdentifierTypeStateIssuer
40QA00248000OtherNJPHYSICAL THERAPY LICENSE

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

LicenseStateTypeSpecialty
40QA00248000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rowland Physical Therapy Associates Inc CurrentSince Jan 1, 1994 Accepting new patients

Locations

121 Lees Ln
Haddon Township, NJ 08107
Phone (856) 858-8222

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": "1123891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1114929692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LEES LN",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081071030",
            "telephone_number": "856-858-8222",
            "fax_number": "856-858-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LEES LN",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081071030",
            "telephone_number": "856-858-8222",
            "fax_number": "856-858-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLAND",
        "first_name": "GEORGE",
        "middle_name": "TOWERS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PT, OCS, CERT.MDT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-13",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00248000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "40QA00248000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.