Active NPI
Veronica Leigh Bowman, OT
- Occupational Therapist
- Carrollton, GA
National Provider Identifier
1295595403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT009081
- Practice address
- 1124 N Park St Ste M
Carrollton, GA 30117-2282 - Phone
- (770) 834-0873
- Fax
- (770) 834-6118
- NPI assigned
- Mar 22, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT009081 | GA | Primary |
Addresses
Primary practice location
1124 N Park St Ste M
Carrollton, GA 30117-2282
Mailing address
2944 Hammett Rd
Hogansville, GA 30230-2935
Phone (706) 881-0260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240410001906 | GA | Practitioner - Occupational Therapist in Private Practice | 6507204401 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1295595403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2944 HAMMETT RD",
"city": "HOGANSVILLE",
"state": "GA",
"postal_code": "302302935",
"telephone_number": "706-881-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 N PARK ST STE M",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301172282",
"telephone_number": "770-834-0873",
"fax_number": "770-834-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "VERONICA",
"middle_name": "LEIGH",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-22",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT009081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.