Kathy Bowlin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1568 Issued in OR

Practice address

36 Hawthorne St
Medford, OR 97504-7114

Phone

(541) 776-2333

Fax

(541) 776-2495

NPI assigned

Jan 14, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson County Physical Therapy LLPGroup PAC ID 4284615311, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jackson County Physical Therapy LLP

  • Physical Therapist
  • Medford, OR
  • NPI 1013112903
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1922159367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HAWTHORNE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047114",
            "telephone_number": "541-776-2333",
            "fax_number": "541-776-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 HAWTHORNE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047114",
            "telephone_number": "541-776-2333",
            "fax_number": "541-776-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLIN",
        "first_name": "KATHY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299845",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Katharine Boudreaux, MSN, CPNP-PC, PMHS
• Christopher Brice Bouffard, PA-C
• Lydia Bouman
• Melissa Jean Bouse
• Alice Bowen, PT
• Judit Nemeth Bowling, PHD
• Diana L Bowman, PA-C
• Julie Marie Bowne, LMT
• Donald L Bowser, NP
• April Hope Boyce, LMT

• Physical Therapist in Medford, OR
• Providers in Medford, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.