Brent Allen Sowers, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31002360A Issued in IN

Practice address

2400 Silhavy Rd
Valparaiso, IN 46383-3275

Phone

(219) 462-1778

NPI assigned

Nov 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1609111970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5752 ARDMORE AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685407",
            "telephone_number": "219-742-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SILHAVY RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833275",
            "telephone_number": "219-462-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWERS",
        "first_name": "BRENT",
        "middle_name": "ALLEN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31002360A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.