Active NPI
Linda J. Owoc, PT
- Physical Therapist
- Bedford, NH
National Provider Identifier
1548246531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3078496 | Medicaid | NH | |
| 08Y004036NH03 | Other | NH | ANTHEM INDIVIDUAL ID# |
| 7182388 | Other | NH | AETNA-INDIVIDUAL PROVIDER |
| 7862579 | Other | NH | CIGNA 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5763 | MA | MD | Physical Therapist |
| PT005694L | PA | MD | Physical 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.
-
- Physical Therapist
- Bedford, NH
- NPI 1558347559
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.