Active NPI
Elizabeth Layne Bowden, OTR/L
- Pediatric Occupational Therapist
- Brandon, FL
National Provider Identifier
1750060216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 24220
- Practice address
- 687 W Lumsden Rd
Brandon, FL 33511-5911 - Phone
- (813) 643-1389
- NPI assigned
- Jul 12, 2023
- Last updated
- Jul 12, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 24220 | FL | Primary |
Addresses
Primary practice location
687 W Lumsden Rd
Brandon, FL 33511-5911
Mailing address
540 Trinity LN N Apt 8220
St Petersburg, FL 33716-1332
Phone (630) 849-4915
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 |
|---|---|---|---|
| 24220 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amazing Kidz Therapy, PLLC | Pediatrics | Current | Accepting new patients |
Locations
687 W Lumsden Rd
Brandon, FL 33511
Phone (813) 643-1389
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1750060216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 TRINITY LN N APT 8220",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337161332",
"telephone_number": "630-849-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 W LUMSDEN RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115911",
"telephone_number": "813-643-1389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWDEN",
"first_name": "ELIZABETH",
"middle_name": "LAYNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-12",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "24220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.