Individual provider Active NPI

Scott Bowlin

  • Physical Therapist
  • Penfield, NY
National Provider Identifier
1194947168
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22391 Issued in PA
Practice address
2006 Five Mile Line Rd
Suite 117
Penfield, NY 14526-1419
Phone
(585) 381-4128
NPI assigned
May 2, 2007
Last updated
Mar 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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 PT22391 PA Primary

Addresses

Primary practice location

2006 Five Mile Line Rd
Suite 117
Penfield, NY 14526-1419

Mailing address

10 Torrey Pine Dr
Rochester, NY 14612-2986
Phone (585) 225-0222

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
011508NYMDMental Health Counselor
PT22391PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Weston Paxxon PT, OT & SLP, PLLC Physical Therapist Past Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC PastSince Dec 27, 2020 Accepting new patients
Weston Paxxon PT,OT & SLP, PLLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1194947168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TORREY PINE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146122986",
            "telephone_number": "585-225-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FIVE MILE LINE RD",
            "address_2": "SUITE 117",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261419",
            "telephone_number": "585-381-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLIN",
        "first_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT22391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.