Individual provider Active NPI

Kellie Jones-Bowles, PT, DPT, PCS

  • Pediatric Physical Therapist
  • Norwalk, CT
National Provider Identifier
1528512084
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
9688 Issued in CT
Practice address
55 Washington Street
Suite 502
Norwalk, CT 06854
Phone
(888) 355-3255
NPI assigned
Aug 12, 2016
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 9688 CT Primary
Pediatric Physical Therapist 2251P0200X 035248-1 NY

Addresses

Primary practice location

55 Washington Street
Suite 502
Norwalk, CT 06854

Mailing address

145 Westport Rd
Easton, CT 06612-1329
Phone (518) 522-7637

Other names 1

  • Dr. Kellie Jones Former name

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

State licenses

LicenseStateTypeSpecialty
035248-1NYMDPediatric Physical Therapist
9688CTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1528512084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WESTPORT RD",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121329",
            "telephone_number": "518-522-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WASHINGTON STREET",
            "address_2": "SUITE 502",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06854",
            "telephone_number": "888-355-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-BOWLES",
        "first_name": "KELLIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CT",
            "license": "9688",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "035248-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "JONES",
            "prefix": "DR.",
            "credential": "PT, DPT, PCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.