Individual provider Active NPI

Jeffrey Wayne Rowland, COTA/L

  • Occupational Therapy Assistant
  • Addison, IL
National Provider Identifier
1265809826
Registry record updated Nov 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
057.003096 Issued in IL
Practice address
2171 W Executive Dr Ste 500
Addison, IL 60101-5626
Phone
(630) 709-5662
NPI assigned
Aug 28, 2015
Last updated
Nov 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057.003096 IL Primary

Addresses

Primary practice location

2171 W Executive Dr Ste 500
Addison, IL 60101-5626

Mailing address

705 Garden Cir Apt 1
Streamwood, IL 60107-6612
Phone (630) 709-5662

Other practice location 1

376 Glenwood Dr Apt 108
Bloomingdale, IL 60108-3208
Phone (630) 709-5662

Other practice location 2

705 Garden Cir Apt 1
Streamwood, IL 60107-6612
Phone (630) 709-5662 ext. 63070

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
057.003096ILMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573862400000",
    "number": "1265809826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GARDEN CIR APT 1",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601076612",
            "telephone_number": "630-709-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 W EXECUTIVE DR STE 500",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015626",
            "telephone_number": "630-709-5662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 Glenwood Dr Apt 108",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601083208",
            "country_code": "US",
            "telephone_number": "630-709-5662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Garden Cir Apt 1",
            "address_purpose": "LOCATION",
            "city": "Streamwood",
            "state": "IL",
            "postal_code": "601076612",
            "country_code": "US",
            "telephone_number": "630-709-5662 x63070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWLAND",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2019-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.003096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; 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.