Organization Active NPI

Jennifer Bowen OT

  • Contractor
  • Lebanon, NH
National Provider Identifier
1164850640
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
072.0085243 Issued in VT
Legal business name
JENNIFER BOWEN OT
Practice address
18 Perley Ave
Lebanon, NH 03766-1817
Phone
(858) 761-3429
NPI assigned
Oct 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Jennifer Bowen
Title
Otr/L
Phone
(858) 761-3429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X 072.0085243 VT Primary

Addresses

Primary practice location

18 Perley Ave
Lebanon, NH 03766-1817

Mailing address

18 Perley Ave
Lebanon, NH 03766-1817

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1164850640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PERLEY AVE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PERLEY AVE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661817",
            "telephone_number": "858-761-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER BOWEN OT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "858-761-3429"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "VT",
            "license": "072.0085243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.