Kristin Bowne Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

16593 Issued in CA

Legal business name

KRISTIN BOWNE PHYSICAL THERAPY, LLC

Practice address

5274 Scotts Valley Dr
Suite 105
Scotts Valley, CA 95066-3538

Phone

(831) 600-7381

Fax

(831) 460-2730

NPI assigned

Feb 6, 2015

Organization subpart

No

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

Authorized official

Name

Kristin L Bowne, PT, MS, DPT

Title

Owner

Phone

(831) 600-7381

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1447641808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5274 SCOTTS VALLEY DR",
            "address_2": "SUITE 105",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663538",
            "telephone_number": "831-600-7381",
            "fax_number": "831-460-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5274 SCOTTS VALLEY DR",
            "address_2": "SUITE 105",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663538",
            "telephone_number": "831-600-7381",
            "fax_number": "831-460-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN BOWNE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "BOWNE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-600-7381",
        "authorized_official_credential": "PT, MS, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "16593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DY988Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosa Kitchen, MFT
• Joseph Russell Kliegel
• Inga Helen Knudson, LMFT
• Jane Koopman, MD
• Kristin Bowne Physical Therapy Inc
• Kaelynn Kuang
• Amanda Marie Lahr
• Shelley Lane, MFT
• Eang Lao
• Kim Lariviere, OTR/L

• Physical Therapy Clinic/Center in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.