In His Image LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IN HIS IMAGE LLC

Practice address

630 Wedgewood Cir
Bowling Green, KY 42103-1448

Phone

(270) 791-0613

NPI assigned

Aug 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Alexandria Tate Hanks Sowell, DPTNPI 1043876287

Title

Physical Therapist

Phone

(270) 791-0613

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandria Tate Sowell, DPT

  • Physical Therapist
  • Bowling Green, KY
  • NPI 1043876287
  NPD Authorized official

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1073280145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 WEDGEWOOD CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031448",
            "telephone_number": "270-791-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 WEDGEWOOD CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031448",
            "telephone_number": "270-791-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HIS IMAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "SOWELL",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_middle_name": "TATE HANKS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "270-791-0613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caylee Hymer, CCC-SLP
• Eme O Igbokwe, M.D.
• Sardar Hassan Ijaz, MD
• Louis Ilenga
• Impact Physical Therapy, PLLC
• Indar M. Jhamb, M.D.
• Jessica C Ingram, NP-C
• Insight Psychiatry Center LLC
• Integrated Therapy Associates, LLC
• Integrative Body Therapeutics

• Physical Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.