Scott S Cowan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160004192 Issued in IL

Practice address

750 Essington Rd
Joliet, IL 60435-4912

Phone

(815) 729-2160

Fax

(815) 373-0099

NPI assigned

Jun 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children'S Therapy and Rehab Specialists

  • Rehabilitation Practitioner
  • Lindenhurst, IL
  • NPI 1376779512
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1356502140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 E GRAND AVE STE 209",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600465915",
            "telephone_number": "847-265-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604354912",
            "telephone_number": "815-729-2160",
            "fax_number": "815-373-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "SCOTT",
        "middle_name": "S",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160004192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Will
• Taylor Covert
• Covington Wellness Center LLC
• Katrina Renee Covington, LCPC
• Karen F Cowan, OTR/L, CHT
• Brigette Cowherd, PA-C
• Heather L Cox, PT
• Catherine M. Craig, CNM
• Karen Lynn Craig, COTA/L
• Meghan K Crandall, L.C.S.W.

• All providers in Joliet, IL
• Physical Therapy Assistant in Illinois

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