Active NPI
Jeffrey Shawn Owens, OTR/L
- Occupational Therapist
- Harrisburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056008792
- Practice address
- 303 S Commercial St Ste 10
Harrisburg, IL 62946-2125 - Phone
- (618) 252-5555
- Fax
- (618) 252-2279
- NPI assigned
- Oct 27, 2009
- Sex
- Male
- 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 | 056008792 | IL | Primary |
Addresses
Primary practice location
303 S Commercial St Ste 10
Harrisburg, IL 62946-2125
Mailing address
303 S Commercial St Ste 10
Harrisburg, IL 62946-2125
Phone (618) 252-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056008792 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Illinois, LLC | Occupational Therapist | Current | Accepting new patients |
| Occupational Performance and Rehab, PC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Occupational Therapist | Current | Accepting new patients |
| Integrated Health of Southern Illinois, LTD. | Past | Accepting new patients | |
| Performance Chiropractic of Southern Illinois LLC | Past | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
3905 W Ernestine Dr
#B
Marion, IL 62959
Phone (618) 993-6237
3905 W Ernestine Dr
Marion, IL 62959
Phone (573) 331-5761
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 7
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.
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Occupational Therapist
-
- Occupational Therapist
- Marion, IL
- NPI 1689746216
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
-
- Sports Medicine (Family Medicine) Physician
- Harrisburg, IL
- NPI 1982738274
-
- Chiropractor
- Marion, IL
- NPI 1538314414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1730415621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S COMMERCIAL ST STE 10",
"city": "HARRISBURG",
"state": "IL",
"postal_code": "629462125",
"telephone_number": "618-252-5555",
"fax_number": "618-252-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S COMMERCIAL ST STE 10",
"city": "HARRISBURG",
"state": "IL",
"postal_code": "629462125",
"telephone_number": "618-252-5555",
"fax_number": "618-252-2279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "JEFFREY",
"middle_name": "SHAWN",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-27",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056008792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.