Active NPI
Alys A Bowman, COTA/L
- Occupational Therapy Assistant
- Wasilla, AK
National Provider Identifier
1871891820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1880
- Practice address
- 650 N Shoreline Dr
Suite 101
Wasilla, AK 99654-6677 - Phone
- (907) 376-6363
- Fax
- (907) 376-6366
- NPI assigned
- Feb 28, 2011
- Last updated
- Feb 28, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1880 | AK | Primary |
Addresses
Primary practice location
650 N Shoreline Dr
Suite 101
Wasilla, AK 99654-6677
Mailing address
650 N Shoreline Dr
Suite 101
Wasilla, AK 99654-6677
Phone (907) 376-6363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201133162 | Medicaid | AK |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1880 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alyeska Therapy Center, Inc. | Past | Accepting new patients | |
| Health Quest Therapy, Inc. | Occupational Therapy Assistant | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Wasilla, AK
- NPI 1295761625
-
- Occupational Therapy Assistant
- Wasilla, AK
- NPI 1982727640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1871891820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 N SHORELINE DR",
"address_2": "SUITE 101",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546677",
"telephone_number": "907-376-6363",
"fax_number": "907-376-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 N SHORELINE DR",
"address_2": "SUITE 101",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546677",
"telephone_number": "907-376-6363",
"fax_number": "907-376-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "ALYS",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-28",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AK",
"license": "1880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201133162",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.