Organization Active NPI

Bowie Physical Therapy Associates Inc

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1093889990
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Feb 22, 2008

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
S891OtherDCCAREFIRST
H379OtherMDCAREFIRST

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.