Individual provider Active NPI

Bonnie J Bowlus, PT

  • Physical Therapist
  • Fremont, OH
National Provider Identifier
1801985668
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06138 Issued in OH
Practice address
715 S Taft Ave
Fremont, OH 43420-3200
Phone
(419) 332-7321
Fax
(419) 334-6673
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06138 OH Primary

Addresses

Primary practice location

715 S Taft Ave
Fremont, OH 43420-3200

Mailing address

345 Riverside Dr
Fremont, OH 43420-9495
Phone (419) 447-7203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126001311 OH Practitioner - Physical Therapist in Private Practice 4486007341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services Inc 3,431 clinicians
PT Services Rehabilitation Inc 20 clinicians

Practice addresses (Care Compare)

1545 Fangboner Rd
Fremont, OH 43420-1128
Phone (567) 314-6003

22020 W St RT
51 Suite a
Genoa, OH 43430-1254
Phone (419) 855-8301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06138OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
P.T. Services Rehabilitation, Inc. CurrentSince Dec 12, 2023 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince May 12, 2025 Accepting new patients
P T Services Rehabilitation Inc Past Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

400 W State St
Fremont, OH 43420
Phone (419) 332-6709

1545 Fangboner Rd
Fremont, OH 43420
Phone (419) 332-6533

1800 W State St
Fremont, OH 43420
Phone (419) 332-6709

1224 West St
Rm 10
Genoa, OH 43430

22020 W State Route 51
Ste A
Genoa, OH 43430
Phone (419) 855-8301

2550 S State Route 100
Tiffin, OH 44883
Phone (419) 835-4484

Organizations & group practices 4

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801985668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 RIVERSIDE DR",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434209495",
            "telephone_number": "419-447-7203",
            "fax_number": "419-447-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S TAFT AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203200",
            "telephone_number": "419-332-7321",
            "fax_number": "419-334-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLUS",
        "first_name": "BONNIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "06138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.