Jacob Ray Stowe, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

112641 Issued in TX

Practice address

1901 Medi Park Dr Ste 65
Amarillo, TX 79106-2105

Phone

(806) 468-7611

Fax

(806) 468-7603

NPI assigned

Jun 18, 2008

Last updated

Jun 18, 2008By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Century Rehabilitation of Texas LLCGroup PAC ID 6608275607, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Century Rehabilitation of Texas LLC

  dba Century Rehabilitation

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1093308967

  Occupational Therapist, TX

  Medicare reassignment Care Compare group NPD
• Baptist Community Services

  dba Ware Memorial Care Center

  • Skilled Nursing Facility
  • Amarillo, TX
  • NPI 1619017332
  NPD

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1891956223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 65",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062105",
            "telephone_number": "806-468-7611",
            "fax_number": "806-468-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 65",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062105",
            "telephone_number": "806-468-7611",
            "fax_number": "806-468-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWE",
        "first_name": "JACOB",
        "middle_name": "RAY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217267-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Leigh Stone, FNP-C
• Jack Brenden Stookey, FNP-C
• Dick Paul Storseth, PHARMACIST
• Sabrena Stout
• Karla E Stovall, M.A. LPC
• Chelsea Patricia Strand, LPC
• Rhys Patrick Strasia, D.D.S.
• Stratford Hospital District (Hillside Heights Rehabilitation Suites)
• Stratford Hospital District (Kirkland Court Health and Rehabilitation)
• Stratford Hospital District (Legacy Rehabilitation and Living)

• Occupational Therapist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.

Verify at the official NPI Registry.