Individual provider Active NPI

Kristin Lisbeth Bowne, DPT

  • Physical Therapist
  • Scotts Valley, CA
National Provider Identifier
1306908082
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16593 Issued in CA
Practice address
269 Mount Hermon Rd
Suite 205
Scotts Valley, CA 95066-4078
Phone
(831) 600-7381
Fax
(831) 460-2730
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinical Nurse Specialist 364SR0400X 16593 CA
Physical Therapist 225100000X PT16593 CA Primary

Addresses

Primary practice location

269 Mount Hermon Rd
Suite 205
Scotts Valley, CA 95066-4078

Mailing address

269 Mount Hermon Rd
Suite 205
Scotts Valley, CA 95066-4078
Phone (831) 600-7381

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

State licenses

LicenseStateTypeSpecialty
PT16593CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sebastopol Physical Therapy and Pilates Studio Physical Therapist PastSince Sep 3, 2024 Accepting new patients
Santa Cruz Medical Clinic, Inc Past Accepting new patients
North Bay Physical Therapy Inc Physical Therapist PastSince Nov 14, 2005 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1306908082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MOUNT HERMON RD",
            "address_2": "SUITE 205",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664078",
            "telephone_number": "831-600-7381",
            "fax_number": "831-600-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 MOUNT HERMON RD",
            "address_2": "SUITE 205",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664078",
            "telephone_number": "831-600-7381",
            "fax_number": "831-460-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWNE",
        "first_name": "KRISTIN",
        "middle_name": "LISBETH",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SR0400X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Rehabilitation",
            "state": "CA",
            "license": "16593",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotts Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.