Active NPI
Katie Bowler
- Physical Therapist
- Pittsfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25815
- Practice address
- 1000 North St
Pittsfield, MA 01201-1585 - Phone
- (413) 642-2735
- NPI assigned
- Oct 11, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25815 | MA | Primary |
Addresses
Primary practice location
1000 North St
Pittsfield, MA 01201-1585
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
25 Bridge St
Belchertown, MA 01007-8909
Phone (413) 323-1020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211026000629 | MA | Practitioner - Physical Therapist in Private Practice | 3274921135 | Reassigns benefits to 1 organization |
| I20230224001992 | SC | Practitioner - Physical Therapist in Private Practice | 3274921135 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
190 River Park Dr
Little River, SC 29566-6844
Phone (843) 734-1457
491 Hwy 17
Little River, SC 29566-8082
Phone (843) 491-6422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11215 | SC | MD | Pharmacist |
| 25815 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group of South Carolina Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
25 Bridge St
Belchertown, MA 01007
Phone (413) 323-1020
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050
Organizations & group practices 5
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.
-
- Physical Therapist
- Little River, SC
- NPI 1366063000
-
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
MA, Physical Therapist
-
- Physical Therapist
- Bluffton, SC
- NPI 1073957064
-
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1346902079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012011585",
"telephone_number": "413-642-2735"
}
],
"practiceLocations": [
{
"address_1": "25 Bridge St",
"address_purpose": "LOCATION",
"city": "Belchertown",
"state": "MA",
"postal_code": "010078909",
"country_code": "US",
"telephone_number": "413-323-1020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWLER",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-11",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "25815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.