Active NPI
Cowan Brown, DPT
- Physical Therapist
- Lisle, IL
National Provider Identifier
1750757092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070021633
- Practice address
- 4300 Lincoln Ave Unit B
Lisle, IL 60532-1210 - Phone
- (630) 281-2900
- Fax
- (630) 281-2901
- NPI assigned
- Aug 20, 2015
- Last updated
- Dec 13, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070021633 | IL | Primary |
Addresses
Primary practice location
4300 Lincoln Ave Unit B
Lisle, IL 60532-1210
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2764 Aurora Ave
Suite 124
Naperville, IL 60540-1007
Phone (630) 235-4433
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 87.86
- Improvement activities
- 40
- Cost
- 61.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070021633 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Physical Therapy and Wellness PLLC | Physical Therapist | Current | Accepting new patients |
| Legacy Physical Therapy and Wellness PLLC | Current | Accepting new patients |
Locations
2764 Aurora Ave
Ste 124
Naperville, IL 60540
Phone (630) 235-4433
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.
-
- Physical Therapy Clinic/Center
- Naperville, IL
- NPI 1992585095
-
- Physical Therapist
- Plainfield, IL
- NPI 1043199607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1750757092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-350-2644",
"fax_number": "586-541-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 LINCOLN AVE UNIT B",
"city": "LISLE",
"state": "IL",
"postal_code": "605321210",
"telephone_number": "630-281-2900",
"fax_number": "630-281-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "COWAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-20",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070021633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lisle, IL
- John Lowell Brom, MSW, LCSW
- Audrey A Bromberger, MD
- Brookdale Living Communities of Illinois - DNC, LLC (Brookdale Plaza Lisle SNF)
- Nora Elizabeth Brosnan, M.A, M.J, CCC-SLP
- Courtney Anne Brown, LCSW
- Jennifer Helen Brown, O.D.
- Patricica J Bryan
- Daniela Michelle Brzozowski
- Irene Rose Bucher, M.A., CCC/SLP
- Gerardo Omar Bucio, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.