Active NPI
Pamela Bowden Brisson, MPT
- Physical Therapist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9845
- Practice address
- 11200 Governor Manly Way Ste 305
Raleigh, NC 27614-7383 - Phone
- (919) 562-9410
- Fax
- (919) 562-2948
- NPI assigned
- Apr 14, 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 | 9845 | NC | Primary |
Addresses
Primary practice location
11200 Governor Manly Way Ste 305
Raleigh, NC 27614-7383
Mailing address
PO Box 1107
Wake Forest, NC 27588-1107
Phone (919) 562-9410
Other practice location 1
6602 Knightdale Blvd Ste 310
Knightdale, NC 27545-6526
Phone (919) 562-9410
Other names 1
- Pamela Lynn Bowden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
162 Legacy Oaks Dr
Knightdale, NC 27545-6556
Phone (919) 684-8111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9845 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activcare Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Duke University Health System, Inc. | Physical Therapist | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Sports & More Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Duke University Health System, Inc. | Past | Accepting new patients |
Locations
166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
162 Legacy Oaks Dr
Ste 2102
Knightdale, NC 27545
Phone (919) 373-1799
162 Legacy Oaks Dr
Knightdale, NC 27545
Phone (919) 373-1800
3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042
3708 Forestview Rd
Ste 101
Raleigh, NC 27612
Phone (919) 786-7434
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.
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Physical Therapist
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Internal Medicine Physician
- Durham, NC
- NPI 1376574798
-
- Physical Therapist
- Raleigh, NC
- NPI 1134229669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1427348101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1107",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275881107",
"telephone_number": "919-562-9410",
"fax_number": "919-562-2948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 GOVERNOR MANLY WAY STE 305",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276147383",
"telephone_number": "919-562-9410",
"fax_number": "919-562-2948"
}
],
"practiceLocations": [
{
"address_1": "6602 Knightdale Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Knightdale",
"state": "NC",
"postal_code": "275456526",
"country_code": "US",
"telephone_number": "919-562-9410",
"fax_number": "919-562-2948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRISSON",
"first_name": "PAMELA",
"middle_name": "BOWDEN",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "BOWDEN",
"middle_name": "LYNN",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.