Mary Forrest Bowen

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1095 Issued in NH

Practice address

480 Donald St
Bedford, NH 03110-5945

Phone

(603) 627-4147

Fax

(603) 644-6906

NPI assigned

Oct 9, 2012

Last updated

Oct 9, 2012By the provider in NPPES

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

Other names 1

• Mary Forrest Lund Former name

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1316299886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 DONALD ST.",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-627-4147",
            "fax_number": "603-644-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 DONALD ST",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105945",
            "telephone_number": "603-627-4147",
            "fax_number": "603-644-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "MARY",
        "middle_name": "FORREST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LUND",
            "middle_name": "FORREST",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Boston
• Tracey L Bottazzi, APRN
• Ashley Marcelle Bouchard, PTA
• Madison Boucher
• Marcy K. Boucher, M.D.
• Leah Bowers, NP-C
• Matthew James Box, LICSW
• Jayne Boyd, D.M.D.
• Boyd/Steiner, DMD, PC
• John David Boyden II, D.C.

• Physical Therapy Assistant in Bedford, NH
• Providers in Bedford, NH by specialty
• Physical Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.