Individual provider Active NPI

Renee G Rowley, PT, PCS

  • Pediatric Physical Therapist
  • Western Springs, IL
National Provider Identifier
1669653598
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Practice address
1019 Longmeadow LN
Western Springs, IL 60558-2109
Phone
(708) 246-9383
Fax
(708) 371-7748
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X IL Primary

Addresses

Primary practice location

1019 Longmeadow LN
Western Springs, IL 60558-2109

Mailing address

1019 Longmeadow LN
Western Springs, IL 60558-2109
Phone (708) 246-9383

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

LicenseStateTypeSpecialty
070003082ILMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1669653598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 LONGMEADOW LN",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605582109",
            "telephone_number": "708-246-9383",
            "fax_number": "708-371-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 LONGMEADOW LN",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605582109",
            "telephone_number": "708-246-9383",
            "fax_number": "708-371-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLEY",
        "first_name": "RENEE",
        "middle_name": "G",
        "credential": "PT, PCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Western Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.