Individual provider Active NPI

Lauren Goldberg Bowen

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1508358565
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212176 Issued in VA
Practice address
5712 Cleveland St Ste 250
Virginia Beach, VA 23462-1783
Phone
(757) 490-4802
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305212176 VA Primary

Addresses

Primary practice location

5712 Cleveland St Ste 250
Virginia Beach, VA 23462-1783

Mailing address

5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784
Phone (757) 490-4802

Other practice location 1

4420 Fairfax Dr Ste 100
Arlington, VA 22203-4190
Phone (301) 530-1010

Other practice location 2

8401 Greensboro Dr Ste 100
Mc Lean, VA 22102-5100
Phone (301) 530-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180904000141 DC Practitioner - Physical Therapist in Private Practice 6406106053 Reassigns benefits to 3 organizations
I20180926002893 VA Practitioner - Physical Therapist in Private Practice 6406106053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Chevy Chase Orthopaedic Associates, LLCGroup PAC ID 4789631011, 138 clinicians

Practice addresses (Care Compare)

2021 K St NW
Suite 610
Washington, DC 20006-1058
Phone (301) 530-1010

5716 Cleveland St
Suite 200
Virginia Beach, VA 23462-1784
Phone (757) 490-4802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Mar 1, 2023 Accepting new patients
Performance Physical Therapy,LLC Physical Therapist CurrentSince Jan 6, 2020 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Mar 1, 2023 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Aug 1, 2018 Accepting new patients

Locations

2021 K St NW
Ste 610
Washington, DC 20006
Phone (240) 395-1522

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

4420 Fairfax Dr
Ste 100
Arlington, VA 22203
Phone (703) 419-3002

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

7700B Gunston Plz
Lorton, VA 22079
Phone (703) 263-2020

8140 Ashton Ave
Ste 104
Manassas, VA 20109
Phone (703) 257-3333

8401 Greensboro Dr
Ste 100
Mc Lean, VA 22102

8401 Greensboro Dr
Ste 120
McLean, VA 22102
Phone (571) 899-3580

5716 Cleveland St
Ste 200
Virginia Beach, VA 23462
Phone (757) 502-8583

5712 Cleveland St
Ste 250
Virginia Beach, VA 23462
Phone (757) 961-7271

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1508358565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 CLEVELAND ST STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621784",
            "telephone_number": "757-490-4802",
            "fax_number": "757-490-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 CLEVELAND ST STE 250",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621783",
            "telephone_number": "757-490-4802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Fairfax Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222034190",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "fax_number": "301-897-8597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Greensboro Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221025100",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "fax_number": "301-897-8597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "LAUREN",
        "middle_name": "GOLDBERG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.