Individual provider Active NPI

Grant Bower

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1831689975
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1304135 Issued in TX
Practice address
2305 Donley Dr Ste 106
Austin, TX 78758-4535
Phone
(512) 266-1000
Fax
(512) 597-0898
NPI assigned
May 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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 1304135 TX Primary

Addresses

Primary practice location

2305 Donley Dr Ste 106
Austin, TX 78758-4535

Mailing address

2305 Donley Dr Ste 106
Austin, TX 78758-4535
Phone (512) 266-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307001319 FL Practitioner - Physical Therapist in Private Practice 0446515324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Institute of Tampa Bay PLCGroup PAC ID 5193715720, 3 clinicians
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

2818 Cypress Ridge Blvd
Suite 100
Wesley Chapel, FL 33544-6306
Phone (813) 549-2134

3450 E Fletcher Ave
Suite 350
Tampa, FL 33613-4699
Phone (813) 739-7493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain Relief Group PLLC CurrentSince Jan 15, 2024 Accepting new patients
Pain Institute of Tampa Bay PLC Past Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

2818 Cypress Ridge Blvd
Ste 100
Wesley Chapel, FL 33544
Phone (813) 574-2460

2818 Cypress Ridge Blvd
Wesley Chapel, FL 33544

Organizations & group practices 3

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1831689975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 DONLEY DR STE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584535",
            "telephone_number": "512-266-1000",
            "fax_number": "512-597-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 DONLEY DR STE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584535",
            "telephone_number": "512-266-1000",
            "fax_number": "512-597-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "GRANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1304135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.