Stacy Ann Bowers, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23721 Issued in MD

Practice address

41818 N Venture Dr
Suite 120
Anthem, AZ 85086-3188

Phone

(623) 742-7338

Fax

(623) 742-7339

NPI assigned

Jul 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Stacy Ann Allen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1265720239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41818 N VENTURE DR",
            "address_2": "SUITE 120",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863188",
            "telephone_number": "623-742-7338",
            "fax_number": "623-742-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41818 N VENTURE DR",
            "address_2": "SUITE 120",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863188",
            "telephone_number": "623-742-7338",
            "fax_number": "623-742-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23721",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021003",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951476",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "ALLEN",
            "middle_name": "ANN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Boccia, D.O.
• Gina Marie Bonavito Larragoite, DC
• Nina Bord
• Cynthia Yvonne Bostwick, R.N.
• Shana Rebilas Bousard, MT-BC
• Maureen Boyle, NP-C
• Renee Ann Bradley
• Kayla King Brawley
• Brian Austin, LLC
• Bright Start Physical Therapy and Wellness LLC

• Physical Therapist in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.