Active NPI
Michelle R Bowen, P.T.
- Physical Therapist
- Port St Lucie, FL
National Provider Identifier
1427346311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26545
- Practice address
- 441 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731 - Phone
- (772) 873-8980
- Fax
- (772) 873-8981
- NPI assigned
- Jul 13, 2011
- Last updated
- Jul 13, 2011
- 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 | 26545 | FL | Primary |
Addresses
Primary practice location
441 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731
Mailing address
441 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731
Phone (772) 873-8980
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26545 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Performance Rehabilitation Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Port St Lucie, FL
- NPI 1538209762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1427346311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 NW PRIMA VISTA BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349838731",
"telephone_number": "772-873-8980",
"fax_number": "772-873-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 NW PRIMA VISTA BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349838731",
"telephone_number": "772-873-8980",
"fax_number": "772-873-8981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "MICHELLE",
"middle_name": "R",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "26545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.