Active NPI
Bowie Physical Therapy Associates Inc
- Physical Therapist
- Bowie, MD
National Provider Identifier
1093889990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BOWIE PHYSICAL THERAPY ASSOCIATES INC
- Practice address
- 4351 Northview Drive
Bowie, MD 20716-2602 - Phone
- (301) 464-1489
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Jane Fernanadez, PT
- Title
- Co Director Office Manager
- Phone
- (301) 464-1893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4351 Northview Drive
Bowie, MD 20716-2602
Mailing address
4351 Northview Drive
Bowie, MD 20716-2602
Phone (301) 464-1489
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S891 | Other | DC | CAREFIRST |
| H379 | Other | MD | CAREFIRST |
National Provider Directory
National Provider DirectoryLocations
4351 Northview Dr
Bowie, MD 20716
Phone (301) 464-1824
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Bowie, MD
- NPI 1497073381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203638400000",
"number": "1093889990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4351 NORTHVIEW DRIVE",
"city": "BOWIE",
"state": "MD",
"postal_code": "207162602",
"telephone_number": "301-464-1489",
"fax_number": "301-464-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 NORTHVIEW DRIVE",
"city": "BOWIE",
"state": "MD",
"postal_code": "207162602",
"telephone_number": "301-464-1489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWIE PHYSICAL THERAPY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2008-02-22",
"status": "A",
"authorized_official_last_name": "FERNANADEZ",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "CO DIRECTOR OFFICE MANAGER",
"authorized_official_telephone_number": "301-464-1893",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "S891",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "H379",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.