| Randous Bowens, | |
|
257 Sagamore Pkwy W, Suite 230, West Lafayette, IN 47906-1563 | |
| (765) 463-2200 | |
| Not Available |
| Full Name | Randous Bowens |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 257 Sagamore Pkwy W, West Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083993232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05010114A (Indiana) | Primary |
| Provider Name | Drayer Physical Therapy Institute Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538122700 PECOS PAC ID: 8224948666 Enrollment ID: O20040126000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Randous Bowens, Po Box 4699, Suite 230, Lafayette, IN 47903-4699 Ph: () - | Randous Bowens, 257 Sagamore Pkwy W, Suite 230, West Lafayette, IN 47906-1563 Ph: (765) 463-2200 |
Jessica Stipp, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Lindberg Rd, West Lafayette, IN 47906 Phone: 765-464-5600 | |
Lawrence Dantae Robertson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2136 Cumulus Ct, West Lafayette, IN 47906 Phone: 706-267-9773 | |
Kirstin Lestinsky, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1044 Sagamore Pkwy W Unit A, West Lafayette, IN 47906 Phone: 765-250-4445 | |
Rachel Wichlinski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2741 N Salisbury St, West Lafayette, IN 47906 Phone: 765-463-7546 | |
Garrett R Buechler, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1044 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-250-4445 Fax: 765-463-7664 | |
Kirsten Zambon, PT, DPT, CLT Physical Therapist Medicare: Medicare Enrolled Practice Location: 909 Sagamore Pkwy W Ste 917, West Lafayette, IN 47906 Phone: 765-463-0710 Fax: 765-463-0711 |