Active NPI
Abigail Bowyer, PTA
- Physical Therapy Assistant
- Kokomo, IN
National Provider Identifier
1235914409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06006700A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 06006700A | IN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Path Physical Therapy and Performance Academy LLC | Current | 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.
-
- Physical Therapy Clinic/Center
- Kokomo, IN
- NPI 1134859176
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.