Jessica Renee McCowan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070017513 Issued in IL

Practice address

811 N 1St St
Vienna, IL 62995-1544

Phone

(618) 658-8144

Fax

(618) 658-9146

NPI assigned

Dec 9, 2009

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Real Rehabilitation PC

  • Physical Therapist
  • Vienna, IL
  • NPI 1912030321
  NPD (past)

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1861721540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "address_2": "811 N 1ST ST.",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629950095",
            "telephone_number": "618-658-8144",
            "fax_number": "618-658-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N 1ST ST",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629951544",
            "telephone_number": "618-658-8144",
            "fax_number": "618-658-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOWAN",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "048930",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "431187",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4423522",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regaina Madden, MSW QMHP
• Marion Eye Centers LTD.
• David Martin, BA MHP
• Sherry Ann Maynor
• Karen M McBride, BA, MHP
• Brandy Meadows, RN QMHP
• Pearl Meadows, BA MHP
• Raelyn Melton, LCSW
• Tiffany Meyers, BSW, MHP
• Emily Middleton, LCWS, MSW, QMHP

• Physical Therapist in Vienna, IL
• Providers in Vienna, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.