Kirsta Bowles, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2609 Issued in OK

Practice address

5117 W Gore Blvd
Lawton, OK 73505-5998

Phone

(580) 355-6785

Fax

(580) 355-6788

NPI assigned

Apr 19, 2022

Last updated

Apr 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• H2 Health Oklahoma Outpatient Clinics LLC

  dba H2 Health

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1982683306
  NPD
• Valir Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Oklahoma City, OK
  • NPI 1871685503
  NPD
• Valir Outpatient Clinics LLC

  • Durable Medical Equipment & Medical Supplies
  • Midwest City, OK
  • NPI 1275713489
  NPD (past)

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1245973080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NW 6TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731067241",
            "telephone_number": "405-609-3667",
            "fax_number": "405-609-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055998",
            "telephone_number": "580-355-6785",
            "fax_number": "580-355-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "KIRSTA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasja Bosserman, MS
• Andrea Boston
• Patricia Annette Boucher, APRN-CNP
• Tommie Deann Bowden, PTA
• Jeanette Marie Bowles
• Shalyn C Bowles
• Rebecca Jane Boyd, RN
• Tammy Boyd
• Boyer Speechpath LLC
• Jenny Boyer, MD

• Physical Therapy Assistant in Lawton, OK
• Providers in Lawton, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.