Active NPI
Martha Cowan, OTRL
- Occupational Therapist
- Freeport, IL
National Provider Identifier
1598858771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056000666
- Practice address
- 3519 S Baileyville Rd
Freeport, IL 61032-9731 - Phone
- (815) 541-7740
- Fax
- (815) 232-8763
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056000666 | IL | Primary |
Addresses
Primary practice location
3519 S Baileyville Rd
Freeport, IL 61032-9731
Mailing address
1341 Empire CT
Freeport, IL 61032
Phone (815) 541-7740
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056000666 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1598858771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 EMPIRE CT",
"city": "FREEPORT",
"state": "IL",
"postal_code": "61032",
"telephone_number": "815-541-7740",
"fax_number": "815-232-8763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 S BAILEYVILLE RD",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610329731",
"telephone_number": "815-541-7740",
"fax_number": "815-232-8763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWAN",
"first_name": "MARTHA",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056000666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.