Individual provider Active NPI

Richard Joseph Cowan, P.T.

  • Orthopedic Physical Therapist
  • Massapequa Park, NY
National Provider Identifier
1669734992
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
011197 Issued in NY
Practice address
229 Jerusalem Ave
Massapequa Park, NY 11762-1704
Phone
(516) 316-5020
NPI assigned
Jun 12, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 011197 NY Primary

Addresses

Primary practice location

229 Jerusalem Ave
Massapequa Park, NY 11762-1704

Mailing address

229 Jerusalem Ave
Massapequa Park, NY 11762-1704
Phone (516) 316-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121112000083 NY Practitioner - Physical Therapist in Private Practice 0446215990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Physical Therapy PCGroup PAC ID 1355418104, 10 clinicians

Practice addresses (Care Compare)

140 W Merrick Rd
Valley Stream, NY 11580-5511
Phone (516) 568-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011197NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy, P.C. CurrentSince Nov 1, 2023 Accepting new patients
Lawrence Physical Therapy, P.C. PastSince Sep 1, 1996 Accepting new patients

Locations

970 Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 225-1289

140 W Merrick Rd
Valley Stream, NY 11580
Phone (516) 888-7614

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1669734992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 JERUSALEM AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621704",
            "telephone_number": "516-316-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 JERUSALEM AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621704",
            "telephone_number": "516-316-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "011197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.