Individual provider Active NPI

Anna E. Bowne, MS, OTR/L

  • Occupational Therapist
  • Rochester, NY
National Provider Identifier
1639453707
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015310-1 Issued in NY
Practice address
28 Babcock Dr
Rochester, NY 14610-3305
Phone
(585) 507-6962
Fax
(585) 510-0826
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 015310-1 NY Primary

Addresses

Primary practice location

28 Babcock Dr
Rochester, NY 14610-3305

Mailing address

28 Babcock Dr
Rochester, NY 14610-3305
Phone (585) 507-6962

Other practice location 1

639 Erie Station Rd
West Henrietta, NY 14586-9750
Phone (585) 359-5300

Other practice location 2

3399 Winton Rd S
Rochester, NY 14623-3057
Phone (585) 334-6000 ext. 1236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170317001044 NY Practitioner - Occupational Therapist in Private Practice 1153606967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
015310-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Association of the Rochester Area, Inc. CurrentSince Mar 2, 2017 Accepting new patients
Finger Lakes United Cerebral Palsy, Inc. PastSince Mar 2, 2017 Accepting new patients

Locations

3399 Winton Rd S
Rochester, NY 14623

Organizations & group practices 2

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1639453707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BABCOCK DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146103305",
            "telephone_number": "585-507-6962",
            "fax_number": "585-510-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BABCOCK DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146103305",
            "telephone_number": "585-507-6962",
            "fax_number": "585-510-0826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 Erie Station Rd",
            "address_purpose": "LOCATION",
            "city": "West Henrietta",
            "state": "NY",
            "postal_code": "145869750",
            "country_code": "US",
            "telephone_number": "585-359-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3399 Winton Rd S",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146233057",
            "country_code": "US",
            "telephone_number": "585-334-6000 x1236",
            "fax_number": "585-334-2858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWNE",
        "first_name": "ANNA",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015310-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.