Provider Demographics
NPI:1982833240
Name:BOWMAN, ELIZABETH TURNER (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:TURNER
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:BARNETT
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1267 ENTERPRISE WAY NW STE B
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-4472
Mailing Address - Country:US
Mailing Address - Phone:256-713-1872
Mailing Address - Fax:256-713-1873
Practice Address - Street 1:12181 COUNTY LINE RD STE 150
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-7740
Practice Address - Country:US
Practice Address - Phone:256-461-9654
Practice Address - Fax:256-461-9728
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60948250225100000X
ALPTH10029225100000X
VA2305206000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00761609OtherRR MEDICARE
VA1982833240Medicaid
P01584764Medicare PIN
Q50863BMedicare PIN
VA0472640004Medicare NSC
VA1982833240Medicaid
VA020608W25Medicare PIN