NPIMap

Organization Active NPI

Cowan Chiropractic & Rehabilitation, PA

  • Sports Physician Chiropractor
  • Wilmington, DE
National Provider Identifier
1790721058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
F10000381 Issued in DE
Legal business name
COWAN CHIROPRACTIC & REHABILITATION, PA
Practice address
536 Greenhill Ave
Wilmington, DE 19805-1851
Phone
(302) 654-0404
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Thomas Cowan III, D.C.NPI 1710941257
Title
President
Phone
(302) 654-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X F10000381 DE Primary

Addresses

Primary practice location

536 Greenhill Ave
Wilmington, DE 19805-1851

Mailing address

705 S Clayton St
Wilmington, DE 19805-4214
Phone (302) 655-9858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060802000071 DE Part B Supplier - Clinic/Group Practice 8820001209 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory
Tax ID family
Cowan Chiropractic and Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2114 S DuPont Hwy
Camden, DE 19934
Phone (302) 697-0515

538 Greenhill Ave
Wilmington, DE 19805
Phone (302) 654-7246

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790721058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S CLAYTON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054214",
            "telephone_number": "302-655-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 GREENHILL AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051851",
            "telephone_number": "302-654-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWAN CHIROPRACTIC & REHABILITATION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-654-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "DE",
            "license": "F10000381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.