Individual provider Active NPI

Andrew Michael Bowin, DPT

  • Physical Therapist
  • Broken Bow, NE
National Provider Identifier
1215026786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2355 Issued in NE
Practice address
325 S 1St Ave
McMeen Physical Therapy, PC
Broken Bow, NE 68822-2213
Phone
(308) 872-5111
Fax
(308) 872-5115
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2355 NE Primary

Addresses

Primary practice location

325 S 1St Ave
McMeen Physical Therapy, PC
Broken Bow, NE 68822-2213

Mailing address

PO Box 435
McMeen Physical Therapy, PC
Broken Bow, NE 68822-0435
Phone (308) 872-5111

Other identifiers 1

IdentifierTypeStateIssuer
02050OtherNEBLUE CROSS BLUE SHIELD

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
2355NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Physical Therapy, P.C. Physical Therapist Past Accepting new patients
Team Physical Therapy, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215026786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "address_2": "MCMEEN PHYSICAL THERAPY, PC",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688220435",
            "telephone_number": "308-872-5111",
            "fax_number": "308-872-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S 1ST AVE",
            "address_2": "MCMEEN PHYSICAL THERAPY, PC",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688222213",
            "telephone_number": "308-872-5111",
            "fax_number": "308-872-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWIN",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02050",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.