NPIMap

Individual provider Active NPI

Teresa L Bowie, MPT

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1184763989
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19002 Issued in MD
Practice address
605 E Church St Ste 2
Frederick, MD 21701-5705
Phone
(240) 566-3568
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19002 MD Primary

Addresses

Primary practice location

605 E Church St Ste 2
Frederick, MD 21701-5705

Mailing address

9101 Wesleyan Rd Ste 100
Indianapolis, IN 46268-3103
Phone (800) 603-6046

Other practice location 1

626 Trail Ave
Frederick, MD 21701-4934
Phone (301) 662-1997

Other names 1

  • Teresa Dietz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19002MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Hill Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Homecare Rehab and Nursing LLC Physical Therapist PastSince Jul 15, 2011 Accepting new patients
Homecare Rehab, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1184763989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 WESLEYAN RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683103",
            "telephone_number": "800-603-6046",
            "fax_number": "301-668-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E CHURCH ST STE 2",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015705",
            "telephone_number": "240-566-3568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 Trail Ave",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014934",
            "country_code": "US",
            "telephone_number": "301-662-1997",
            "fax_number": "301-668-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWIE",
        "first_name": "TERESA",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "DIETZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.