Individual provider Active NPI

Tyna Bowens, MS, EP

  • Clinical Exercise Physiologist
  • Chicago, IL
National Provider Identifier
1699576785
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
1067837 Issued in IL
Practice address
230 E Ohio St Ste 410
Chicago, IL 60611-5288
Phone
(872) 339-7576
NPI assigned
Mar 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise PhysiologistGroup: 193400000X SINGLE SPECIALTY GROUP 224Y00000X 1067837 IL Primary

Addresses

Primary practice location

230 E Ohio St Ste 410
Chicago, IL 60611-5288

Mailing address

230 E Ohio St Ste 410
Chicago, IL 60611-5288
Phone (872) 339-7576

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1067837ILMDClinical Exercise Physiologist

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1699576785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E OHIO ST STE 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115288",
            "telephone_number": "872-339-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E OHIO ST STE 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115288",
            "telephone_number": "872-339-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWENS",
        "first_name": "TYNA",
        "credential": "MS, EP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": "IL",
            "license": "1067837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.