Active NPI
Alicia Lynn Bowman, D.P.T
- Physical Therapy Clinic/Center
- Tacoma, WA
National Provider Identifier
1982804944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT00010585
- Practice address
- 2420 S Union Ave Ste 130
Tacoma, WA 98405-1306 - Phone
- (253) 752-1070
- Fax
- (253) 752-2315
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT00010585 | WA | Primary |
Addresses
Primary practice location
2420 S Union Ave Ste 130
Tacoma, WA 98405-1306
Mailing address
2210 S 10TH St
Tacoma, WA 98405-3020
Phone (360) 970-1081
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 |
|---|---|---|---|
| PT00010585 | WA | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NW CMW, P.S | Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Tacoma, WA
- NPI 1396862652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1982804944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 S 10TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984053020",
"telephone_number": "360-970-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 S UNION AVE STE 130",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051306",
"telephone_number": "253-752-1070",
"fax_number": "253-752-2315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "ALICIA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "D.P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "WA",
"license": "PT00010585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.