Individual provider Active NPI

Robert Bowers, MS, OTR/L

  • Occupational Therapist
  • Haines, AK
National Provider Identifier
1679230304
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
185083 Issued in AK
Practice address
69 Beach Road
Haines, AK 99827-0778
Phone
(907) 766-2101
Fax
(907) 766-2104
NPI assigned
Nov 17, 2021
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC004861L PA
Occupational Therapist 225X00000X 185083 AK Primary

Addresses

Primary practice location

69 Beach Road
Haines, AK 99827-0778

Mailing address

PO Box 778
Haines, AK 99827-0778
Phone (907) 314-0808

Other practice location 1

9109 Mendenhall Mall Rd Ste 5Kand7
Juneau, AK 99801-7136
Phone (907) 766-2101

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL webpt.com Direct

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC004861LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1679230304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778",
            "city": "HAINES",
            "state": "AK",
            "postal_code": "998270778",
            "telephone_number": "907-314-0808",
            "fax_number": "907-766-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BEACH ROAD",
            "city": "HAINES",
            "state": "AK",
            "postal_code": "998270778",
            "telephone_number": "907-766-2101",
            "fax_number": "907-766-2104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9109 Mendenhall Mall Rd Ste 5Kand7",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017136",
            "country_code": "US",
            "telephone_number": "907-766-2101",
            "fax_number": "907-766-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "ROBERT",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004861L",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "185083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "webpt.com",
            "affiliation": "N",
            "endpointDescription": "Secure EMR Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "69 Beach Road",
            "city": "Haines",
            "state": "AK",
            "country_code": "US",
            "postal_code": "998270778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haines, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.