Jessica Lynn Bowersock, ATC, PHD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1014 W Osage Dr
Stillwater, OK 74075-2137

Phone

(978) 328-3411

NPI assigned

Jul 24, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1093636854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W OSAGE DR",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740752137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W OSAGE DR",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740752137",
            "telephone_number": "978-328-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERSOCK",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "ATC, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Grace Bond
• Kayla Desiree Bond
• Austin Borges, RBT
• Isabel Bourland, RBT
• Rebecca Bowen, LCSW
• Morgan Xander Boyer
• Tammy L Boylan, BS
• Marvin Ray Brace Jr., CADC
• Stephanie Lynn Brace, MHR, LPC
• Brittney Nicole Bradshaw

• Student in an Organized Health Care Education/Training Program in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Student in an Organized Health Care Education/Training Program in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.