Mitch Bowers Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

MITCH BOWERS PHYSICAL THERAPY

Practice address

913 E Fourth St
Dequincy, LA 70633-3709

Phone

(337) 786-7866

Fax

(337) 786-6701

NPI assigned

Dec 1, 2017

Last updated

May 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitchell Keith Bowers, DPTNPI 1487895389

Title

Physical Therapist/Owner

Phone

(337) 304-8951

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell K Bowers, P.T.

  • Orthopedic Physical Therapist
  • Dequincy, LA
  • NPI 1487895389
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1548775372",
    "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": "337-304-8951"
        },
        {
            "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": {
        "organization_name": "MITCH BOWERS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "337-304-8951",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "07512",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3448670",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles James Johnson, RPH
• Jalal Joudeh, M.D.
• Lake Area Dentistry-Dequincy, LLC (Lake Area Dentistry)
• George Leeds, HEALTH COACH
• Linda Foster
• Sarah Mueller
• Nichols Pharmacy Inc (Nichols Pharmacy)
• Omni Health & Wellness
• Colleen Pinder
• Amanda Jane Pitre, APRN

• 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 May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.