Stephanie Ann Bowen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL5672 Issued in MA

Practice address

99 Brackett St
Quincy, MA 02169-4647

Phone

(781) 254-3520

NPI assigned

Aug 29, 2024

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

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massachusetts Physical Therapy Services of Quincy Bay LLCGroup PAC ID 3870945660, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Massachusetts Physical Therapy Services of Quincy Bay, LLC

  • Physical Therapist
  • Quincy, MA
  • NPI 1568162170
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1205660396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HEWES RD",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664631",
            "telephone_number": "781-254-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BRACKETT ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694647",
            "telephone_number": "781-254-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL5672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew C Bott, M.D.
• Patricia Boulogne
• Mary F Boutin, R.N.
• Eirini Boutiou
• Jessica Rose Bowe
• Tanya Modoono Bowlby, LCSW
• Carolyn Boyd
• Catherine Boyle, LICSW
• Braam Pretorius DMD,PC
• Lester M Brackley, OD

• Physical Therapist in Quincy, MA
• Providers in Quincy, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.