Individual provider Active NPI

Todd G Rowan, PT

  • Physical Therapist
  • Warren, OH
National Provider Identifier
1558623124
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013718 Issued in OH
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

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20121011000243 OH Practitioner - Physical Therapist in Private Practice 2264681014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013718OHMDPhysical 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.

Verify at the official NPI Registry.