Active NPI
Virginia 'Gigi' Leigh Bowen, COTA/LL
- Occupational Therapy Assistant
- Seneca, SC
National Provider Identifier
1457583213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2450
- Practice address
- 539 Benton St
Seneca, SC 29672-6883 - Phone
- (864) 973-9623
- Fax
- (864) 973-9624
- NPI assigned
- Aug 12, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2450 | SC | Primary |
Addresses
Primary practice location
539 Benton St
Seneca, SC 29672-6883
Mailing address
539 Benton St
Seneca, SC 29672-6883
Phone (864) 973-9623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2450 | Other | SC | SC STATE OCCUPATIONAL THERAPY LICENCE |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | 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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1457583213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 BENTON ST",
"city": "SENECA",
"state": "SC",
"postal_code": "296726883",
"telephone_number": "864-973-9623",
"fax_number": "864-973-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 BENTON ST",
"city": "SENECA",
"state": "SC",
"postal_code": "296726883",
"telephone_number": "864-973-9623",
"fax_number": "864-973-9624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "VIRGINIA 'GIGI'",
"middle_name": "LEIGH",
"credential": "COTA/LL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "2450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC STATE OCCUPATIONAL THERAPY LICENCE",
"identifier": "2450",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.