Jackie Lynn Bowser, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2152 Issued in MD

Practice address

10301 Christie Rd NE
Cumberland, MD 21502-8326

Phone

(301) 724-1400

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285758656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 REYNOLDSDALE ROAD",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155549026",
            "telephone_number": "814-839-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 CHRISTIE RD NE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215028326",
            "telephone_number": "301-724-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWSER",
        "first_name": "JACKIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A Bostaph, CRNP
• Grace Bauer Bowen, DO
• Nathaniel Brandes Bowen, DO
• Dee Dee Bower, RN,BSN,IBCLC,RNC-OB
• Bowmans Addition Volunteer Fire Company Inc
• Duane E Boyd
• Robert B Boyle, MPT
• Braddock Medical Group
• Braddock Medical Group P.a.
• Montana Bradley, DPT

• Physical Therapy Assistant in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.