Active NPI
Todd G Rowan, PT
- Physical Therapist
- Warren, OH
National Provider Identifier
1558623124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013718
- Practice address
- 8835 Altura Dr NE
Warren, OH 44484-1729 - Phone
- (330) 442-5100
- NPI assigned
- Jun 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013718 | OH | Primary |
Addresses
Primary practice location
8835 Altura Dr NE
Warren, OH 44484-1729
Mailing address
8835 Altura Dr NE
Warren, OH 44484-1729
Phone (330) 442-5100
Other practice location 1
609 W Liberty St
Hubbard, OH 44425-1750
Phone (330) 534-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121011000243 | OH | Practitioner - Physical Therapist in Private Practice | 2264681014 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013718 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1558623124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8835 ALTURA DR NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444841729",
"telephone_number": "330-442-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8835 ALTURA DR NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444841729",
"telephone_number": "330-442-5100"
}
],
"practiceLocations": [
{
"address_1": "609 W Liberty St",
"address_purpose": "LOCATION",
"city": "Hubbard",
"state": "OH",
"postal_code": "444251750",
"country_code": "US",
"telephone_number": "330-534-8500",
"fax_number": "330-534-3926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROWAN",
"first_name": "TODD",
"middle_name": "G",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-11",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT013718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.