Individual provider Active NPI

Michael Bowdy, ATC

  • Physical Therapist
  • Danville, KY
National Provider Identifier
1366964256
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9269 Issued in KY
Practice address
2900 S Danville Byp Ste 110
Danville, KY 40422-2464
Phone
(859) 236-7012
Fax
(859) 236-7407
NPI assigned
Jul 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30338 MD
Physical Therapist 225100000X 9269 KY Primary

Addresses

Primary practice location

2900 S Danville Byp Ste 110
Danville, KY 40422-2464

Mailing address

2900 S Danville Byp Ste 110
Danville, KY 40422-2464
Phone (859) 236-7012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250312001078 MD Practitioner - Physical Therapist in Private Practice 1153842752 Reassigns benefits to 2 organizations
I20250826003727 KY Practitioner - Physical Therapist in Private Practice 1153842752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Corporate Dr
Suite 400 Irg
Birmingham, AL 35242-5424

2900 S Danville Byp
Suite 110
Danville, KY 40422-2464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9269KYMDPhysical Therapist
30338MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Orthopaedics & Sports Medicine, PSC Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist PastSince Mar 1, 2025 Accepting new patients
Ati Holdings, LLC PastSince Mar 1, 2025 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

2900 S Danville Byp
Ste 110
Danville, KY 40422
Phone (859) 209-2049

333 S 3rd St
Ste B
Danville, KY 40422
Phone (859) 236-8730

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

1409 S Salisbury Blvd
Unit Cd
Salisbury, MD 21801
Phone (667) 330-1061

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.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1366964256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S DANVILLE BYP STE 110",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222464",
            "telephone_number": "859-236-7012",
            "fax_number": "859-236-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S DANVILLE BYP STE 110",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222464",
            "telephone_number": "859-236-7012",
            "fax_number": "859-236-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDY",
        "first_name": "MICHAEL",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30338",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "9269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.

Verify at the official NPI Registry.