Active NPI
Sheronda Bowers
- Physical Therapist
- Slidell, LA
National Provider Identifier
1093328213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07587
- Practice address
- 60491 Doss Dr Ste D
Slidell, LA 70460-4972 - Phone
- (985) 690-6920
- NPI assigned
- Aug 27, 2020
- Last updated
- Sep 18, 2020
- 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 | 07587 | LA | Primary |
Addresses
Primary practice location
60491 Doss Dr Ste D
Slidell, LA 70460-4972
Mailing address
60491 Doss Dr Ste D
Slidell, LA 70460-4972
Phone (985) 690-6920
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 |
|---|---|---|---|
| 07587 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1093328213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60491 DOSS DR STE D",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704604972",
"telephone_number": "985-690-6920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60491 DOSS DR STE D",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704604972",
"telephone_number": "985-690-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "SHERONDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-27",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "07587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.