1366879371 NPI number — DR. VICTORIA CARLEEN BOWN DPT

Table of content: DR. VICTORIA CARLEEN BOWN DPT (NPI 1366879371)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366879371 NPI number — DR. VICTORIA CARLEEN BOWN DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOWN
Provider First Name:
VICTORIA
Provider Middle Name:
CARLEEN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366879371
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/09/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ARAPAHOE PEAK PHYSICAL THERAPY, LLC
Provider Second Line Business Mailing Address:
3649 EVERGREEN PKWY #2107
Provider Business Mailing Address City Name:
EVERGREEN
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80437-2107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-674-5522
Provider Business Mailing Address Fax Number:
720-306-3512

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
32003 ELLINGWOOD TRAIL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EVERGREEN
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80439
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
36-745-5223
Provider Business Practice Location Address Fax Number:
720-306-3512
Provider Enumeration Date:
10/04/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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