| Johnathan Michael Bowen, DPT | |
|
4600 S Noland Rd Ste A, Independence, MO 64055-4797 | |
| (816) 313-2220 | |
| Not Available |
| Full Name | Johnathan Michael Bowen |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 4600 S Noland Rd Ste A, Independence, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750110045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2024026684 (Missouri) | Secondary |
| 225X00000X | Occupational Therapist | 2023026684 (Missouri) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnathan Michael Bowen, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Johnathan Michael Bowen, DPT 4600 S Noland Rd Ste A, Independence, MO 64055-4797 Ph: (816) 313-2220 |
Jean Ann Wetherilt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10601 E 35th Ter S, Independence, MO 64052 Phone: 816-358-1955 | |
Linda Kay Hickey, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10601 E 35th Ter S, Independence, MO 64052 Phone: 816-358-1955 Fax: 816-358-1955 | |
Amanda S Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 218 N Pleasant St, Independence School District, Independence, MO 64050 Phone: 816-521-2700 Fax: 816-521-2999 | |
Linda Hickey Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10601 E 35th Ter S, Independence, MO 64052 Phone: 816-358-1955 | |
Chase Moder, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3980 South Jackson Dr, Independence, MO 64057 Phone: 816-795-1433 | |
Mr. Brantley Vincent Niendick, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 S M 291 Hwy, Independence, MO 64057 Phone: 816-373-9328 Fax: 816-373-9207 | |
Ruth Reid, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14820 E 42nd St S, Independence, MO 64055 Phone: 816-517-9021 |