Individual provider Active NPI

Brett Bowman, PT

  • Physical Therapist
  • Georgetown, KY
National Provider Identifier
1346529385
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007877 Issued in KY
Practice address
101 Eastside Dr Ste D
Georgetown, KY 40324-8763
Phone
(502) 867-0111
NPI assigned
Aug 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 4625 NC
Physical Therapist 225100000X 007877 KY Primary

Addresses

Primary practice location

101 Eastside Dr Ste D
Georgetown, KY 40324-8763

Mailing address

901 Broomfield TRL
Elizabeth City, NC 27909-7040

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

LicenseStateTypeSpecialty
007877KYMDPhysical Therapist
4625NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Physical Therapy and Wellness, Inc. Past Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist PastSince Jun 3, 2025 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC PastSince Jun 3, 2025 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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1346529385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BROOMFIELD TRL",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EASTSIDE DR STE D",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248763",
            "telephone_number": "502-867-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BRETT",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "4625",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.