Active NPI
Katelyn Bowen
- Occupational Therapist
- Tarpon Springs, FL
National Provider Identifier
1083361422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21077
- Practice address
- 515 Chesapeake Dr
Tarpon Springs, FL 34689-2515 - Phone
- (727) 934-4629
- NPI assigned
- Mar 6, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21077 | FL | Primary |
Addresses
Primary practice location
515 Chesapeake Dr
Tarpon Springs, FL 34689-2515
Mailing address
1610 Lakefront Dr
Huntsville, AL 35824-1572
Phone (731) 389-4071
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 |
|---|---|---|---|
| 21077 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646524800000",
"number": "1083361422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 LAKEFRONT DR",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358241572",
"telephone_number": "731-389-4071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 CHESAPEAKE DR",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346892515",
"telephone_number": "727-934-4629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-06",
"last_updated": "2022-03-06",
"certification_date": "2022-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "21077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarpon Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.