Dylan Timothy Bowling, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2022027239 Issued in MO

Practice address

2301 South Mo 291 Highway
Independence, MO 64057

Phone

(816) 373-9328

NPI assigned

Sep 1, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Select Physical Therapy

  • Physical Therapist
  • Independence, MO
  • NPI 1144892233
  NPD

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1851011597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 E 47TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555601",
            "telephone_number": "816-853-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 SOUTH MO 291 HIGHWAY",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64057",
            "telephone_number": "816-373-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "DYLAN",
        "middle_name": "TIMOTHY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2022027239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonishia Boston
• Deambra Lea Boucher, O.D.
• Margaret Boucher
• Jeremy Lee Bowen, D.D.S.
• Johnathan Michael Bowen, DPT
• Donnie Ray Bowman Jr., PHARMD
• Lori Lynne Boyd
• Sydney Boyd
• Jenifer C Boyer, MA, LPC
• Ashtyn Dawn Bradley

• Physical Therapy Assistant in Independence, MO
• Providers in Independence, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.