Active NPI
Andrew Thomas Bowen, P.T.
- Orthopedic Physical Therapist
- Burlington, VT
National Provider Identifier
1992711923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- VT040-0003401
- Practice address
- 90 Main St
Burlington, VT 05401-8419 - Phone
- (802) 861-6700
- NPI assigned
- Jul 31, 2006
- Last updated
- Nov 8, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | VT040-0003401 | VT | Primary |
Addresses
Primary practice location
90 Main St
Burlington, VT 05401-8419
Mailing address
24 Chelsea Rd
Essex Junction, VT 05452-2615
Phone (802) 879-6049
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5273607 | Other | VT | VERMONT MANAGED CARE |
| 6000628 | Other | VT | MVP |
| 1007705 | Medicaid | VT | |
| 49991 | Other | VT | BLUE CROSS/ BLUE SHIELD |
| 69511 | Other | VT | TVHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
90 Main St
Burlington, VT 05401-8419
Phone (802) 861-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VT040-0003401 | VT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Center of Vermont LLC | Orthopedic | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Burlington, VT
- NPI 1689705139
-
dba The Edge Physical Therapy
- Physical Therapist
- South Burlington, VT
- NPI 1700919818
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1992711923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CHELSEA RD",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054522615",
"telephone_number": "802-879-6049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MAIN ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054018419",
"telephone_number": "802-861-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "ANDREW",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VT",
"license": "VT040-0003401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VERMONT MANAGED CARE",
"identifier": "5273607",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "6000628",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007705",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "49991",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TVHP",
"identifier": "69511",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.