Active NPI
Ronald Charles McDowell, MS, PT
- Physical Therapist
- Santa Rosa, CA
National Provider Identifier
1891268207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19273
- Practice address
- 503 Benicia Dr
Santa Rosa, CA 95409-3005 - Phone
- (530) 859-5242
- NPI assigned
- Jan 8, 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 | 19273 | CA | Primary |
Addresses
Primary practice location
503 Benicia Dr
Santa Rosa, CA 95409-3005
Mailing address
503 Benicia Dr
Santa Rosa, CA 95409-3005
Phone (530) 859-5242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19273 | Other | CA | CALIFORNIA PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19273 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1891268207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 BENICIA DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954093005",
"telephone_number": "530-859-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 BENICIA DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954093005",
"telephone_number": "530-859-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOWELL",
"first_name": "RONALD",
"middle_name": "CHARLES",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "19273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA PHYSICAL THERAPY LICENSE",
"identifier": "19273",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.