Active NPI
Carolyn Yvonne Bowers, PT, DPT
- Physical Therapist
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P11015
- Practice address
- 1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774 - Phone
- (910) 484-4653
- Fax
- (910) 483-9256
- NPI assigned
- Feb 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 11015 | NC | |
| Physical Therapist | 225100000X | P11015 | NC | Primary |
Addresses
Primary practice location
1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Mailing address
1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone (910) 484-4653
Other practice location 1
4405 Sardis Church Rd
Childworks Therapy, LLC
Monroe, NC 28110
Phone (704) 575-2670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015 | NC | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Boss Physical Therapy LLC | Current | Accepting new patients |
Locations
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
Organizations & group practices 4
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.
-
dba Duke University Hospital
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
-
- Physical Therapy Clinic/Center
- Matthews, NC
- NPI 1356012900
-
- Physical Therapist
- Hendersonville, NC
- NPI 1124626148
-
dba Oncology Services
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1871732156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 FORDHAM DR STE 102",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043774",
"telephone_number": "910-484-4653",
"fax_number": "910-483-9256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 FORDHAM DR STE 102",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043774",
"telephone_number": "910-484-4653",
"fax_number": "910-483-9256"
}
],
"practiceLocations": [
{
"address_1": "4405 Sardis Church Rd",
"address_2": "Childworks Therapy, LLC",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "28110",
"country_code": "US",
"telephone_number": "704-575-2670",
"fax_number": "704-553-7587",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWERS",
"first_name": "CAROLYN",
"middle_name": "YVONNE",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-11",
"last_updated": "2024-01-05",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NC",
"license": "11015",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P11015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.