Active NPI
Betsy Bowen, PT
- Physical Therapist
- Mount Airy, MD
National Provider Identifier
1811996994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15456
- Practice address
- 1424 Florence Rd
Mount Airy, MD 21771-3806 - Phone
- (301) 607-8753
- NPI assigned
- Jul 20, 2005
- Last updated
- May 30, 2012
- 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 Therapist | 225100000X | 15456 | MD | Primary |
Addresses
Primary practice location
1424 Florence Rd
Mount Airy, MD 21771-3806
Mailing address
1424 Florence Rd
Mount Airy, MD 21771-3806
Phone (301) 607-8753
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15456 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aerodream LLC | Physical Therapist | Past | Accepting new patients |
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": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1811996994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 FLORENCE RD",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217713806",
"telephone_number": "301-607-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 FLORENCE RD",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217713806",
"telephone_number": "301-607-8753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "BETSY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "15456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.