Colleen Bowles, MOTR/L

Individual provider Active NPI Occupational Therapist · Yucaipa, CA

NPI 1891199063 · NPPES record last updated May 27, 2026

Key facts

NPI
1891199063
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
14632 (CA)
Practice address
12375 California St
Yucaipa, CA 92399-4403
Phone
(909) 446-1100
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14632CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Playworks Center for Development and Learning, Inc. Pediatrics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 14632 CA Yes
Pediatric Occupational Therapist 225XP0200X 14632 CA

Addresses

Primary practice location

12375 California St
Yucaipa, CA 92399-4403

Mailing address

12375 California St
Yucaipa, CA 92399-4403
Phone (909) 446-1100

Other providers in Yucaipa, CA

All providers in Yucaipa, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.