Elena Bowen, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA49885 Issued in FL

Practice address

18942 Dale Mabry Hwy N
Suite 102
Lutz, FL 33548-4907

Phone

(813) 909-0961

Fax

(813) 909-2086

NPI assigned

Oct 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Back in Health Wellness Center LLC

  • Chiropractor
  • Lutz, FL
  • NPI 1982898318
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1821287236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18942 DALE MABRY HWY N",
            "address_2": "SUITE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484907",
            "telephone_number": "813-909-0961",
            "fax_number": "813-909-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18942 DALE MABRY HWY N",
            "address_2": "SUITE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484907",
            "telephone_number": "813-909-0961",
            "fax_number": "813-909-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "ELENA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA49885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "MA49885",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Bouie
• Adina Sara Boulos, DO
• Boundless Hope
• Michael Yakov Bourtman
• Holly Bousquet
• Brett Bowser, D.C.
• Marie-Josee Peggy Boyd, LMT
• Kathleen Noemi Boyle, P.T.
• Joanne Brabham, LMHC
• Edalmarys Santos Bradford, LMHC

• Specialist in Lutz, FL
• Providers in Lutz, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.