Active NPI
Kristen Marie Bowman, DPT
- Physical Therapist
- Port Charlotte, FL
National Provider Identifier
1932366689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28021
- Practice address
- 21281 Grayton Ter
Port Charlotte, FL 33954-3109 - Phone
- (619) 585-4080
- NPI assigned
- May 20, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34419 | CA | |
| Physical Therapist | 225100000X | 28021 | FL | Primary |
Addresses
Primary practice location
21281 Grayton Ter
Port Charlotte, FL 33954-3109
Mailing address
21281 Grayton Ter
Port Charlotte, FL 33954-3109
Phone (619) 585-4080
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28021 | FL | MD | Public Health Dentist |
| 34419 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1932366689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21281 GRAYTON TER",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339543109",
"telephone_number": "619-585-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21281 GRAYTON TER",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339543109",
"telephone_number": "619-585-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34419",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "28021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.