Active NPI
Kendra Leigh Bowen, OTRL
- Occupational Therapist
- Hutchinson, KS
National Provider Identifier
1609085398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17 02799
- Practice address
- 1202 E 23Rd Ave
Hutchinson, KS 67502-5656 - Phone
- (620) 669-9393
- NPI assigned
- May 21, 2007
- Last updated
- Jun 28, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17 02799 | KS | Primary |
Addresses
Primary practice location
1202 E 23Rd Ave
Hutchinson, KS 67502-5656
Mailing address
504 N Carrie St
McPherson, KS 67460-3714
Phone (620) 504-2772
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17 02799 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1609085398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 N CARRIE ST",
"city": "MCPHERSON",
"state": "KS",
"postal_code": "674603714",
"telephone_number": "620-504-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 E 23RD AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675025656",
"telephone_number": "620-669-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "KENDRA",
"middle_name": "LEIGH",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17 02799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.