Jesse Max Rowell, OT

Primary specialty

SpecialistTaxonomy code 174400000X

License

7364777-4201 Issued in UT

Practice address

425 S Vernal Ave
Vernal, UT 84078-3237

Phone

(435) 781-1502

Fax

(435) 781-1505

NPI assigned

Jul 2, 2009

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)

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.

• Elite Rehab Physical Therapy

  • Physical Therapist
  • Vernal, UT
  • NPI 1336590835
  NPD (past)
• Prorehab Physical Therapy

  • Physical Therapist
  • Price, UT
  • NPI 1437175403
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1457580169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 E 100 N",
            "address_2": "SUITE 1 & 2",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012640",
            "telephone_number": "435-613-1500",
            "fax_number": "435-613-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S VERNAL AVE",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840783237",
            "telephone_number": "435-781-1502",
            "fax_number": "435-781-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWELL",
        "first_name": "JESSE",
        "middle_name": "MAX",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "7364777-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Rodriguez, RBT
• Brylie Rogers
• Root Medical
• Chelsea Roth, FNP
• Annemarie Rousseau, APRN
• Ashley Lynn Russell, FNP-C
• Sandra Dollene Rust, A.P.R.N.
• Stephanie Sabin
• Meranda Saccomano, CSW
• Jenna Marie Sandau

• Specialist in Vernal, UT
• Providers in Vernal, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.