Kaitlyn Rose Bowman, OTR/L

Individual provider Active NPI Occupational Therapist · Johnstown, NY

NPI 1821887753 · NPPES record last updated May 6, 2025

Key facts

NPI
1821887753
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
025730-01 (NY)
Practice address
2755 State Highway 67
Johnstown, NY 12095-3747
Phone
(518) 736-4681
NPI assigned
May 6, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
025730-01NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 025730-01 NY Yes

Addresses

Primary practice location

2755 State Highway 67
Johnstown, NY 12095-3747

Mailing address

5090 State Route 10
Cobleskill, NY 12043-7302

Other providers in Johnstown, NY

All providers in Johnstown, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.