KELLY EILEEN BOWEN (NPI# 1508472382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508472382 |
| Entity Type | Individual |
| Full Name | KELLY EILEEN BOWEN |
| Practice Address |
19420 N 59th Ave Ste H830 Glendale AZ 85308-6980 |
| Mailing Address |
12409 W Palo Verde Dr Litchfield Park AZ 85340-3801 |
| Practice Telephone | 6233029020 |
| Mailing Telephone | 4802745264 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174920557 | Kelly Rose Bowen | Obstetrics & Gynecology | 100 Medway Rd Ste 401, Milford, MA 01757-2923 | 2014-12-01 |
| 1245872753 | Kelly Elizabeth Bowen | Naturopath | 5414 Barnes Ave Nw, Seattle, WA 98107-3839 | 2019-10-16 |
| 1558728568 | Kelly Elisha R Bowen | Nurse Practitioner | 196 North St, Geneva General Hospital, Hospitalist Dept., Geneva, NY 14456-1651 | 2016-01-21 |
| 1710172432 | Kelly M Bowen | Social Worker | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2007-09-06 |
| Street Address |
19420 N 59TH AVE STE H830 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-6980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404389 | Canyon Physical Therapy Glendale LLC | Physical Therapy Assistant | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2017-08-24 |
| 1659978948 | Brayan Berumen | Physical Therapist | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2020-10-08 |
| 1023622339 | Lindsey K Tellez | Physical Therapist | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2020-09-03 |
| 1306494901 | Danielle Heslington | Physical Therapist | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2019-08-28 |
| 1174183917 | Ryan A Schuler | Physical Therapist | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2019-06-14 |
| 1902375405 | Foothills Sports Medicine & Physical Therapy - Glendale LLC | Clinic/Center | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2018-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901439 | Bobbi Fry | Specialist/Technologist | 1 W Firestorm Way, Glendale, AZ 85306-3216 | 2020-01-08 |
| 1457815649 | Emma Trudy Nettles | Specialist/Technologist | 5149 W Cinnabar Ave, Glendale, AZ 85302-2309 | 2019-01-22 |
| 1770078552 | Emily Hunter-scapinello | Specialist/Technologist | 1911 Alpha Rd, Glendale, CA 91208-2109 | 2018-06-25 |
| 1821459611 | Joe Rigoberto Carbajal | Specialist/Technologist | 4011 W Rose Garden Ln, Glendale, AZ 85308-4765 | 2016-03-08 |
| 1154700441 | Jason Serbus | Specialist/Technologist | 9400 W Maryland Ave, Glendale, AZ 85305-3114 | 2015-05-20 |
| 1457740979 | Jeffrey Allen Cieslak | Specialist/Technologist | 400 W Riverwoods Pkwy, Glendale, WI 53212 | 2015-01-21 |
| 1912317033 | Kathleen Langan | Specialist/Technologist | 6051 W Sweetwater Ave, Glendale, AZ 85304-1112 | 2014-04-28 |
| 1730463852 | Glendale Sports Massage LLC | Specialist/Technologist | 6808 N Dysart Rd, #136, Glendale, AZ 85307-2231 | 2011-10-07 |
| 1235265406 | Denise Marie Barnard | Specialist/Technologist | 25250 N 35th Ave, Glendale, AZ 85310-4335 | 2007-02-24 |
| 1023152485 | Aaron Michael Fried | Specialist/Technologist | 6000 W Olive Ave, Glendale, AZ 85302-3006 | 2007-02-19 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.