Active NPI
Jennifer Steele Bowman, P.T.
- Physical Therapist
- Texarkana, TX
National Provider Identifier
1063740173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1141901
- Practice address
- 1002 Texas Blvd
Suite 406
Texarkana, TX 75501-5107 - Phone
- (903) 791-1111
- Fax
- (903) 794-4198
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 1141901 | TX | Primary |
Addresses
Primary practice location
1002 Texas Blvd
Suite 406
Texarkana, TX 75501-5107
Mailing address
1506 E 29TH St
Texarkana, AR 71854-2939
Phone (870) 216-7020
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 |
|---|---|---|---|
| 1141901 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1063740173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 E 29TH ST",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718542939",
"telephone_number": "870-216-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 TEXAS BLVD",
"address_2": "SUITE 406",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015107",
"telephone_number": "903-791-1111",
"fax_number": "903-794-4198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "JENNIFER",
"middle_name": "STEELE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1141901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.