Individual provider Active NPI

Linda J. Owoc, PT

  • Physical Therapist
  • Bedford, NH
National Provider Identifier
1548246531
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0789 Issued in NH
Practice address
20 Commerce Park N
Suite 103
Bedford, NH 03110-6911
Phone
(603) 472-5546
Fax
(603) 472-5095
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0789 NH Primary
Physical Therapist 225100000X 5763 MA
Physical Therapist 225100000X PT005694L PA

Addresses

Primary practice location

20 Commerce Park N
Suite 103
Bedford, NH 03110-6911

Mailing address

20 Commerce Park N
Suite 103
Bedford, NH 03110-6911
Phone (603) 472-5546

Other identifiers 4

IdentifierTypeStateIssuer
3078496MedicaidNH
08Y004036NH03OtherNHANTHEM INDIVIDUAL ID#
7182388OtherNHAETNA-INDIVIDUAL PROVIDER
7862579OtherNHCIGNA GROUP ID ONLY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5763MAMDPhysical Therapist
PT005694LPAMDPhysical Therapist

Organizations & group practices 1

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1548246531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMERCE PARK N",
            "address_2": "SUITE 103",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106911",
            "telephone_number": "603-472-5546",
            "fax_number": "603-472-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCE PARK N",
            "address_2": "SUITE 103",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106911",
            "telephone_number": "603-472-5546",
            "fax_number": "603-472-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWOC",
        "first_name": "LINDA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "0789",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "5763",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005694L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078496",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIVIDUAL ID#",
            "identifier": "08Y004036NH03",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-INDIVIDUAL PROVIDER",
            "identifier": "7182388",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP ID ONLY",
            "identifier": "7862579",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.