Active NPI
Jeffrey Wayne Rowland, COTA/L
- Occupational Therapy Assistant
- Addison, IL
National Provider Identifier
1265809826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 057.003096
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 057.003096 | IL | MD | Occupational 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.