Healthcare Provider Details

I. General information

NPI: 1275286767
Provider Name (Legal Business Name): CAROLINE ELIZABETH BOWMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2022
Last Update Date: 02/14/2022
Certification Date: 02/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 INVERNESS DR W STE 200
ENGLEWOOD CO
80112-5069
US

IV. Provider business mailing address

175 INVERNESS DR W STE 100
ENGLEWOOD CO
80112-5066
US

V. Phone/Fax

Practice location:
  • Phone: 303-694-3333
  • Fax:
Mailing address:
  • Phone: 303-694-3333
  • Fax: 303-694-9666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0018117
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPTL.0018117
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPTL.0018117
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: