Tiffany Bowe

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2125-19 Issued in WI

Practice address

2725 S Moorland Rd Ste 301
New Berlin, WI 53151-3720

Phone

(414) 329-2500

NPI assigned

Nov 29, 2023

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 names 1

• Tiffany Flater Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mjcare, Inc.

  • Rehabilitation Clinic/Center
  • Milwaukee, WI
  • NPI 1316908908
  NPD

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1982470191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 257TH ST",
            "city": "CADOTT",
            "state": "WI",
            "postal_code": "547274512",
            "telephone_number": "715-703-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S MOORLAND RD STE 301",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513720",
            "telephone_number": "414-329-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWE",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2125-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "FLATER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allyson Elisabeth Borgardt
• Ksenia Borisova, RN
• Elizabeth A Borst, PMHNP
• Kristin Joan Bortmann, R.N.
• Ruth Bosnjak, PHD
• Simran Brar, OD, FAAO
• Scott D Brau
• Breathtrackers, Inc
• Matthew Brewer, M.D.
• Chasity T Brimeyer, PHD

• All providers in New Berlin, WI
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.