Individual provider Active NPI

Bryan W Cowling, P.T.

  • Orthopedic Physical Therapist
  • Chesapeake, VA
National Provider Identifier
1851591929
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305205067 Issued in VA
Practice address
100 Wimbledon SQ
Chesapeake, VA 23320-4931
Phone
(757) 547-5145
Fax
(757) 436-2480
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305205067 VA
Sports Physical Therapist 2251S0007X 2305205067 VA
Orthopedic Physical Therapist 2251X0800X 2305205067 VA Primary

Addresses

Primary practice location

100 Wimbledon SQ
Chesapeake, VA 23320-4931

Mailing address

100 Wimbledon SQ
Chesapeake, VA 23320-4931
Phone (757) 547-5145

Other identifiers 1

IdentifierTypeStateIssuer
2305205067OtherVAVA LICENSE

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

LicenseStateTypeSpecialty
2305205067VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sport Medicine and Orthopaedic Center Inc Physical Therapist Past Accepting new patients
Sports Medicine and Orthopaedic Center Physical Therapist PastSince Aug 1, 2007 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1851591929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WIMBLEDON SQ",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204931",
            "telephone_number": "757-547-5145",
            "fax_number": "757-436-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WIMBLEDON SQ",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204931",
            "telephone_number": "757-547-5145",
            "fax_number": "757-436-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWLING",
        "first_name": "BRYAN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205067",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "VA",
            "license": "2305205067",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305205067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "2305205067",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.