Individual provider Active NPI

Jeanine Gow, MS, OTR/L

  • Occupational Therapist
  • New City, NY
National Provider Identifier
1467605873
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
018316-1 Issued in NY
Practice address
873 Route 45 Ste 107
New City, NY 10956-1123
Phone
(845) 362-7787
NPI assigned
Oct 29, 2008
Last updated
Dec 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 018316-1 NY Primary

Addresses

Primary practice location

873 Route 45 Ste 107
New City, NY 10956-1123

Mailing address

12C Water Wheel Dr
Montgomery, NY 12549-1232
Phone (845) 728-9306

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
018316-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Physical and Occupational Therapy of Hudson Valley, PLLC PastSince Feb 21, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1467605873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12C WATER WHEEL DR",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491232",
            "telephone_number": "845-728-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 ROUTE 45 STE 107",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561123",
            "telephone_number": "845-362-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOW",
        "first_name": "JEANINE",
        "name_prefix": "Miss",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018316-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.