Active NPI
Mary Bowman, PT, DPT,OCS,LMT
- Physical Therapist
- Corydon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010942A
- Practice address
- 2363 Highway 135 NW
117
Corydon, IN 47112-2153 - Phone
- (812) 734-1918
- NPI assigned
- Jan 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 005747 | KY | |
| Physical Therapist | 225100000X | 05010942A | IN | Primary |
Addresses
Primary practice location
2363 Highway 135 NW
117
Corydon, IN 47112-2153
Mailing address
3689 Melissa CT NW
Corydon, IN 47112-6277
Phone (812) 972-0877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170131002345 | IN | Practitioner - Physical Therapist in Private Practice | 2961784731 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SN Kentuckiana Rehab, LLC
Practice addresses (Care Compare)
173 Pacer Dr NW
Corydon, IN 47112-2144
Phone (812) 734-1918
325 E Lewis and Clark Pkwy
Suite 100
Clarksville, IN 47129-1725
Phone (812) 283-3231
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005747 | KY | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Physical Therapy | Current | Accepting new patients |
| SN Kentuckiana Rehab, LLC | Physical Therapy | Current | Accepting new patients |
| SN Kentuckiana Rehab, LLC | Physical Therapy | Current | Accepting new patients |
| Select Employment Services, Inc. | Past | Accepting new patients |
Locations
325 E Lewis and Clark Pkwy
Ste 100
Clarksville, IN 47129
Phone (812) 283-3231
173 Pacer Dr NW
Ste 117
Corydon, IN 47112
2363 Highway 135 NW
Ste 117
Corydon, IN 47112
Phone (812) 734-1918
1050 Copperfield Dr
Georgetown, IN 47122
Phone (812) 651-1440
1730 Williamsburg Dr
Ste 3
Jeffersonvlle, IN 47130
Phone (812) 246-0705
3626 Grant Line Rd
Ste 105
New Albany, IN 47150
Phone (502) 558-2903
Organizations & group practices 21
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.
-
- Rehabilitation Clinic/Center
- Clarksville, IN
- NPI 1295208684
IN, Physical Therapy
-
- Rehabilitation Clinic/Center
- Jeffersonville, IN
- NPI 1851864169
Physical Therapy
-
- Rehabilitation Clinic/Center
- New Albany, IN
- NPI 1366915761
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1043775521
-
- Durable Medical Equipment & Medical Supplies
- Shelbyville, KY
- NPI 1053944900
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1063978435
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1063985463
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1114482692
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1235602616
-
- Rehabilitation Clinic/Center
- Shepherdsville, KY
- NPI 1265905665
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1295208734
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1295234623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1487959482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3689 MELISSA CT NW",
"city": "CORYDON",
"state": "IN",
"postal_code": "471126277",
"telephone_number": "812-972-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2363 HIGHWAY 135 NW",
"address_2": "117",
"city": "CORYDON",
"state": "IN",
"postal_code": "471122153",
"telephone_number": "812-734-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "MARY",
"name_prefix": "Mrs.",
"credential": "PT, DPT,OCS,LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "KY",
"license": "005747",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010942A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corydon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.