Individual provider Active NPI

Maryann Bowles, P.T.

  • Geriatric Physical Therapist
  • Daytona Beach, FL
National Provider Identifier
1578094157
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
4247 Issued in CO
Practice address
160 Hang Loose Way
Daytona Beach, FL 32124-3821
Phone
(303) 906-7500
NPI assigned
Mar 24, 2017
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40928 FL
Geriatric Physical Therapist 2251G0304X 4247 CO Primary

Addresses

Primary practice location

160 Hang Loose Way
Daytona Beach, FL 32124-3821

Mailing address

160 Hang Loose Way
Daytona Beach, FL 32124-3821
Phone (303) 906-7500

Other practice location 1

9609 S University Blvd
Highlands Ranch, CO 80163-4000
Phone (303) 906-7500

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
40928FLMDPhysical Therapist
4247COMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1578094157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HANG LOOSE WAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321243821",
            "telephone_number": "303-906-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HANG LOOSE WAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321243821",
            "telephone_number": "303-906-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9609 S University Blvd",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801634000",
            "country_code": "US",
            "telephone_number": "303-906-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "MARYANN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "40928",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CO",
            "license": "4247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.