Mitchell K Bowers, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT07512 Issued in LA

Practice address

913 E Fourth St
Dequincy, LA 70633-3709

Phone

(337) 786-7866

Fax

(337) 786-6701

NPI assigned

Mar 23, 2009

Last updated

Nov 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mitch Bowers Physical Therapy

  • Orthopedic Physical Therapist
  • Dequincy, LA
  • NPI 1548775372
  Medicare reassignment NPD Authorized official
• Rehab Institute, Inc

  dba Qualls & Co

  • Physical Therapy Clinic/Center
  • Sulphur, LA
  • NPI 1548324759
  NPD (past)

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1487895389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 E FOURTH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333709",
            "telephone_number": "337-786-7866",
            "fax_number": "337-786-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E FOURTH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333709",
            "telephone_number": "337-786-7866",
            "fax_number": "337-786-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "MITCHELL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "PT07512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allegiance Medical Clinic of Dequincy LLC
• Allegiance Medical Clinic of Dequincy LLC
• Winston Batchelor
• Peter T. Bayles, DDS
• Robin Shirley Bedgood, NP
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Buxton Emergency Group, LLC
• Shanelle Buxton, PHARM D.
• Scotti Michelle Vige Call, LAC
• Chadha Medical Clinic

• Orthopedic Physical Therapist in Dequincy, LA
• Providers in Dequincy, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.