Michele Rogers Bower, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

04081 Issued in LA

Practice address

1713 Ridgefield Rd Ste C
Thibodaux, LA 70301-4399

Phone

(985) 449-0944

Fax

(985) 449-0945

NPI assigned

Dec 19, 2006

Last updated

Jul 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Child's Play Pediatric Therapy, LLC

  dba The Center for Pediatric Therapy

  • Pediatric Physical Therapist
  • Thibodaux, LA
  • NPI 1508921065

  Pediatrics

  NPD (past) Authorized official
• The Center for Pediatric Therapy,LLC

  • Pediatric Physical Therapist
  • Thibodaux, LA
  • NPI 1982825774

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1912060963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 COUNTRY CLUB BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013783",
            "telephone_number": "985-228-0726",
            "fax_number": "985-449-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 RIDGEFIELD RD STE C",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014399",
            "telephone_number": "985-449-0944",
            "fax_number": "985-449-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "MICHELE",
        "middle_name": "ROGERS",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "LA",
            "license": "04081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308072",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen Percle Bourgeois, LCSW
• Lorraine Bourgeois, RN
• Nicole Orgeron Bourgeois, PA-C
• Michael John Bourque Jr., MS, LPC
• Scotty Austin Bouzigard
• Jada Boyd, BS
• Kentrell Boyd
• Carmen Brand, BA
• Ellis David Braud Jr., D.D.S.
• Amy E Braud, M.S., CCC-SLP

• Pediatric Physical Therapist in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Pediatric Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.