Active NPI
Colleen Marie Bowers
- Occupational Therapist
- Cumming, GA
National Provider Identifier
1972197721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003258
- Practice address
- 5610 Hampton Park Dr
Cumming, GA 30041-4004 - Phone
- (678) 710-3942
- NPI assigned
- Feb 23, 2021
- Last updated
- Feb 23, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 003258 | GA | Primary |
Addresses
Primary practice location
5610 Hampton Park Dr
Cumming, GA 30041-4004
Mailing address
4315 Wicklow CT
Suwanee, GA 30024-1486
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 |
|---|---|---|---|
| 003258 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1972197721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4315 WICKLOW CT",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 HAMPTON PARK DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300414004",
"telephone_number": "678-710-3942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "COLLEEN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-23",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "003258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.