Active NPI
Charles Bouwens, RPT
- Physical Therapist
- Wesley Chapel, FL
National Provider Identifier
1295075257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8092
- Practice address
- 26837 Tanic Dr
Suite 101
Wesley Chapel, FL 33544-4613 - Phone
- (813) 527-6913
- NPI assigned
- Feb 27, 2013
- Sex
- Male
- 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 Therapist | 225100000X | PT8092 | FL | Primary |
Addresses
Primary practice location
26837 Tanic Dr
Suite 101
Wesley Chapel, FL 33544-4613
Mailing address
2991 Elder CT
Palm Harbor, FL 34684-3612
Phone (727) 786-3649
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 |
|---|---|---|---|
| PT8092 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookline Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
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 Therapist
- Tampa, FL
- NPI 1649558818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1295075257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2991 ELDER CT",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843612",
"telephone_number": "727-786-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26837 TANIC DR",
"address_2": "SUITE 101",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335444613",
"telephone_number": "813-527-6913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUWENS",
"first_name": "CHARLES",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT8092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.