Provider Demographics
NPI:1649891110
Name:EMPOWER YOURSELF PT
Entity type:Organization
Organization Name:EMPOWER YOURSELF PT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOWENSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:917-675-2579
Mailing Address - Street 1:4909 BISSONNET ST STE 115
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4051
Mailing Address - Country:US
Mailing Address - Phone:832-463-1152
Mailing Address - Fax:713-324-0521
Practice Address - Street 1:4909 BISSONNET ST STE 115
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4051
Practice Address - Country:US
Practice Address - Phone:832-463-1152
Practice Address - Fax:713-324-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE