Active NPI
Audra Bowling
- Physical Therapist
- Humansville, MO
National Provider Identifier
1033404140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2011004345
- Practice address
- 202 E Mill St
Humansville, MO 65674-8507 - Phone
- (417) 754-1601
- NPI assigned
- Jun 16, 2011
- Last updated
- Jun 16, 2011
- Sex
- Female
- 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 | 2011004345 | MO | Primary |
Addresses
Primary practice location
202 E Mill St
Humansville, MO 65674-8507
Mailing address
1319 West Jackson
Bolivar, MO 65613
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011004345 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1033404140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 WEST JACKSON",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "65613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E MILL ST",
"city": "HUMANSVILLE",
"state": "MO",
"postal_code": "656748507",
"telephone_number": "417-754-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLING",
"first_name": "AUDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2011004345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humansville, MO
- Big Spring Nursing and Rehab LLC (Big Spring Care Center for Rehab and Healthcare)
- Big Spring Opco, LLC (Big Spring Care Center for Rehab and Healthcare)
- Big Spring Operations Management LLC
- Robin L Bobinmyer, AGNP-C
- Citizens Memorial Healthcare (Humansville Family Medical Center)
- Tammy Compton, CPM
- Deaconess Long Term Care of Missouri, Inc. (Big Spring Care Center)
- Bethany Lacavera Dhondt, DO
- Jacqueline Foote, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.