Individual provider Active NPI

Kathleen Ann McGowan, OT

  • Occupational Therapist
  • Shallotte, NC
National Provider Identifier
1710333885
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8116 Issued in NC
Practice address
5160 Ocean Hwy W
Shallotte, NC 28470-4012
Phone
(910) 332-3800
Fax
(910) 251-0421
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8116 NC Primary
Occupational Therapist 225X00000X 46TR01143200 NJ

Addresses

Primary practice location

5160 Ocean Hwy W
Shallotte, NC 28470-4012

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (910) 332-3800

Other practice location 1

457 Jack Martin Blvd
Brick, NJ 08724-7776
Phone (732) 840-7500

Other identifiers 1

IdentifierTypeStateIssuer
8116OtherNCOT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160524000915 NC Practitioner - Occupational Therapist in Private Practice 3476842873 Reassigns benefits to 1 organization
I20231005002335 NJ Practitioner - Occupational Therapist in Private Practice 3476842873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

3787 Shipyard Blvd
Wilmington, NC 28403-6148
Phone (910) 332-3800

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8116NCMDGeneral Practice Dentistry
46TR01143200NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Occupational Therapist CurrentSince Jul 1, 2016 Accepting new patients
Orthonj LLC CurrentSince Sep 6, 2023 Accepting new patients
Emergeortho PA CurrentSince Jul 1, 2016 Accepting new patients
Orthonj LLC CurrentSince Sep 6, 2023 Accepting new patients

Locations

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

5160 Ocean Hwy W
Shallotte, NC 28470
Phone (910) 332-3828

3787 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 341-2444

2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534

457 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 840-7500

457 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 840-7500

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1710333885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 OCEAN HWY W",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704012",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 Jack Martin Blvd",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087247776",
            "country_code": "US",
            "telephone_number": "732-840-7500",
            "fax_number": "732-840-2088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8116",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01143200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "8116",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.