Individual provider Active NPI

Brett Matthew Bowen, PT, DPT

  • Physical Therapist
  • Matthews, NC
National Provider Identifier
1891104964
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15073 Issued in NC
Practice address
710 Park Center Dr Ste 200
Matthews, NC 28105-5082
Phone
(704) 323-3208
NPI assigned
Aug 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15073 NC Primary

Addresses

Primary practice location

710 Park Center Dr Ste 200
Matthews, NC 28105-5082

Mailing address

4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-2248

Other practice location 1

710 Park Center Dr Ste 200
Matthews, NC 28105-5082
Phone (704) 323-3208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141005000000 NC Practitioner - Physical Therapist in Private Practice 5799905279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15073NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina Physical Therapist CurrentSince Aug 24, 2020 Accepting new patients
Orthocarolina Physical Therapist CurrentSince Aug 24, 2020 Accepting new patients
Foundation Health Systems LLC Physical Therapist Past Accepting new patients

Locations

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

2001 Vail Ave
Ste 200
Charlotte, NC 28207
Phone (704) 323-2564

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

710 Park Center Dr
Ste 200
Matthews, NC 28105
Phone (704) 323-2500

710 Park Center Dr
Matthews, NC 28105
Phone (704) 323-3208

Organizations & group practices 3

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": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1891104964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290",
            "telephone_number": "704-323-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PARK CENTER DR STE 200",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055082",
            "telephone_number": "704-323-3208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Park Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281055082",
            "country_code": "US",
            "telephone_number": "704-323-3208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "BRETT",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "15073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.