Active NPI
Keith A Bowyer Jr., P.T.
- Physical Therapist
- Sebring, FL
National Provider Identifier
1295712313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT16172
- Practice address
- 100 YMCA LN
Sebring, FL 33875-4352 - Phone
- (863) 382-2949
- Fax
- (863) 382-4732
- NPI assigned
- Dec 29, 2005
- 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 | PT16172 | FL | Primary |
Addresses
Primary practice location
100 YMCA LN
Sebring, FL 33875-4352
Mailing address
100 YMCA LN
Sebring, FL 33875-4352
Phone (863) 382-2949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT16172 | Other | FL | FL LICENSE NUMBER |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1295712313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 YMCA LN",
"city": "SEBRING",
"state": "FL",
"postal_code": "338754352",
"telephone_number": "863-382-2949",
"fax_number": "863-382-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 YMCA LN",
"city": "SEBRING",
"state": "FL",
"postal_code": "338754352",
"telephone_number": "863-382-2949",
"fax_number": "863-382-4732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWYER",
"first_name": "KEITH",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT16172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE NUMBER",
"identifier": "PT16172",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.