Active NPI
Lauren Bowen
- Physical Therapy Assistant
- San Antonio, TX
National Provider Identifier
1679716831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2059593
- Practice address
- 85 NE Loop 410
#612
San Antonio, TX 78216-5829 - Phone
- (210) 494-2343
- NPI assigned
- Apr 16, 2009
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2059593 | TX | Primary |
Addresses
Primary practice location
85 NE Loop 410
#612
San Antonio, TX 78216-5829
Mailing address
16303 Chelsea PL
832
Selma, TX 78154-1881
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 |
|---|---|---|---|
| 2059593 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1679716831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16303 CHELSEA PL",
"address_2": "832",
"city": "SELMA",
"state": "TX",
"postal_code": "781541881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 NE LOOP 410",
"address_2": "#612",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782165829",
"telephone_number": "210-494-2343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2059593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.