Individual provider Active NPI

Abigail Bowyer, PTA

  • Physical Therapy Assistant
  • Kokomo, IN
National Provider Identifier
1235914409
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06006700A Issued in IN
Practice address
1558 E Boulevard Ste E
Kokomo, IN 46902-2587
Phone
(765) 865-8705
Fax
(765) 875-8706
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06006700A IN Primary

Addresses

Primary practice location

1558 E Boulevard Ste E
Kokomo, IN 46902-2587

Mailing address

1558 E Boulevard Ste E
Kokomo, IN 46902-2587
Phone (765) 865-8705

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

State licenses

LicenseStateTypeSpecialty
06006700AINMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Right Path Physical Therapy and Performance Academy LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

1558 E Boulevard
Ste E
Kokomo, IN 46902
Phone (765) 865-8705

Organizations & group practices 1

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1235914409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 E BOULEVARD STE E",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022587",
            "telephone_number": "765-865-8705",
            "fax_number": "765-875-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 E BOULEVARD STE E",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022587",
            "telephone_number": "765-865-8705",
            "fax_number": "765-875-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWYER",
        "first_name": "ABIGAIL",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06006700A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.