Individual provider Active NPI

Cary Breckinridge Bowen II, PT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1245384700
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4692 Issued in SC
Practice address
3250 Harden Street Ext
Ste 200
Columbia, SC 29203-6842
Phone
(803) 509-6389
Fax
(803) 509-6390
NPI assigned
Jan 22, 2007
Last updated
Oct 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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 4692 SC Primary

Addresses

Primary practice location

3250 Harden Street Ext
Ste 200
Columbia, SC 29203-6842

Mailing address

3250 Harden Street Ext
Ste 200
Columbia, SC 29203-6842
Phone (803) 509-6389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130103000425 SC Practitioner - Physical Therapist in Private Practice 1355594185 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians

Practice addresses (Care Compare)

130 Amicks Ferry Rd
Suite G
Chapin, SC 29036-9400
Phone (803) 932-2176

130 Forum Dr
Suite 13
Columbia, SC 29229-7943
Phone (803) 509-6880

1340 Knox Abbott Dr
Cayce, SC 29033-3328
Phone (803) 851-1686

135 Blythewood Rd
Suite J
Blythewood, SC 29016-8426
Phone (803) 851-1037

161 Pontiac Business Ctr Dr
Suite 1188
Elgin, SC 29045-7123
Phone (803) 708-1536

1670 Springdale Dr
Suite 10
Camden, SC 29020-5001
Phone (803) 272-0518

2440 Augusta Hwy
Suite a
Lexington, SC 29072-2247
Phone (803) 769-3301

3250 Harden St Ext
Suite 100
Columbia, SC 29203-6842
Phone (803) 509-6389

3386 Yampa St
Sumter, SC 29150-2045
Phone (803) 233-4505

4711 Forest Dr
Suite 19
Columbia, SC 29206-3125
Phone (803) 888-7760

5443 Platt Springs Rd
Suite D
Lexington, SC 29073-6203
Phone (803) 774-1333

7585 Saint Andrews Rd
Irmo, SC 29063-2806
Phone (803) 749-5031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4692SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Oct 1, 2013 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Oct 1, 2013 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince May 31, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince May 31, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince May 31, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist Current Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince May 31, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

95 Mathews Dr
Ste D5
Hilton Head Island, SC 29926
Phone (843) 681-5640

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

3386 Yampa St
Sumter, SC 29150
Phone (803) 233-4505

Organizations & group practices 7

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1245384700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 HARDEN STREET EXT",
            "address_2": "STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036842",
            "telephone_number": "803-509-6389",
            "fax_number": "803-509-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 HARDEN STREET EXT",
            "address_2": "STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036842",
            "telephone_number": "803-509-6389",
            "fax_number": "803-509-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "CARY",
        "middle_name": "BRECKINRIDGE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.