Elissa Mazza Bower, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027353-1 Issued in NY

Practice address

Syracuse VA Medical Center
800 Irving Avenue
Syracuse, NY 13210

Phone

(315) 425-2684

Fax

(315) 425-2685

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1114976586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 HAFNERS LNDG",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122773",
            "telephone_number": "315-243-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SYRACUSE VA MEDICAL CENTER",
            "address_2": "800 IRVING AVENUE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-425-2684",
            "fax_number": "315-425-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "ELISSA",
        "middle_name": "MAZZA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027353-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adeline M Bovee, RN
• Brianna Bowdren
• Grace Elizabeth Bowen
• John Christian Bowen, MD
• Tanya S. Bowen, PH.D.
• Debra Anne Bowers, NURSE PRACTITIONER
• Lauren Bowers, PHD
• Sarah Bowler, PA
• Matthew Linn Bowman, MSPT
• Michael Bowser, MD

• All providers in Syracuse, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.