Healthcare Provider Details

I. General information

NPI: 1144915448
Provider Name (Legal Business Name): SAMANTHA JANE BOWEN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 SPRINGFIELD RD
WESTFIELD MA
01085-1790
US

IV. Provider business mailing address

1329 VANDERBILT RD
BEL AIR MD
21014-2239
US

V. Phone/Fax

Practice location:
  • Phone: 413-642-5853
  • Fax:
Mailing address:
  • Phone: 443-377-8909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL88599
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number29436
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: