Lauren Eileen Bowles, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

115822 Issued in TX

Practice address

208 Dixie Dr
Clute, TX 77531-5122

Phone

(979) 265-2755

Fax

(979) 265-2756

NPI assigned

Feb 4, 2018

Last updated

Feb 4, 2018By the provider in NPPES

Sex

Female

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Max Rehab and Sport LLCGroup PAC ID 4587911565, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Max Rehab & Sport LLC

  • Physical Therapist
  • Clute, TX
  • NPI 1043719164
  Medicare reassignment Care Compare group NPD Authorized official
• Lake Jackson Rehabilitation and Wellness Center

  • Physical Therapist
  • Lake Jackson, TX
  • NPI 1952346264
  NPD (past)

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

{
    "created_epoch": "1517702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517702400000",
    "number": "1871092999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 DIXIE DR",
            "city": "CLUTE",
            "state": "TX",
            "postal_code": "775315122",
            "telephone_number": "979-265-2755",
            "fax_number": "979-265-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 DIXIE DR",
            "city": "CLUTE",
            "state": "TX",
            "postal_code": "775315122",
            "telephone_number": "979-265-2755",
            "fax_number": "979-265-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "LAUREN",
        "middle_name": "EILEEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-04",
        "last_updated": "2018-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "115822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Antunez, FNP-BC
• Cassidy Miranda Barker
• Brazosport Isd
• Brown United PLLC (Woodshore Family Dentistry)
• City of Clute
• Coastal Staff Relief, Inc.
• Halle Thy Uyen Dao

• Physical Therapist in Clute, TX
• Providers in Clute, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2018; 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.