Individual provider Active NPI

Jane L McGowan, OTR/L

  • Pediatric Occupational Therapist
  • Pleasantville, NY
National Provider Identifier
1306198114
Registry record updated Sep 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
012370-1 Issued in NY
Practice address
324 Manville Rd
Apt 1R
Pleasantville, NY 10570-2158
Phone
(914) 564-2933
Fax
(914) 741-5063
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 012370-1 NY Primary

Addresses

Primary practice location

324 Manville Rd
Apt 1R
Pleasantville, NY 10570-2158

Mailing address

324 Manville Rd
Apt 1R
Pleasantville, NY 10570-2158
Phone (914) 564-2933

Other names 1

  • Ms. Jane L Mwanza Former name

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
012370-1NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442707200000",
    "number": "1306198114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 MANVILLE RD",
            "address_2": "APT 1R",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702158",
            "telephone_number": "914-564-2933",
            "fax_number": "914-741-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MANVILLE RD",
            "address_2": "APT 1R",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702158",
            "telephone_number": "914-564-2933",
            "fax_number": "914-741-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "JANE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2015-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "012370-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "MWANZA",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasantville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; 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.