Nicole Frey Bowen, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119007992 Issued in VA

Practice address

928 S College Ave
Salem, VA 24153-6359

Phone

(540) 375-2860

NPI assigned

Feb 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1083170823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 QUAIL LN",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 S COLLEGE AVE",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536359",
            "telephone_number": "540-375-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "NICOLE",
        "middle_name": "FREY",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007992",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Boren, MD
• Stacey Boris, LPN
• Shane P Bossard, M.D.
• Sharon Ruth Bottomley, MSN, RN, ANP-BC
• John William Bouldin, M.D.
• Catherine Willard Bowers, PA-C
• Matthew B Bowles, PA
• Jennifer S Boyle, MD
• James Bozard, PHARM. D.
• Joseph George Brabant, CRNA

• Occupational Therapist in Salem, VA
• Providers in Salem, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.