KYLE BOW (NPI# 1518365717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518365717 |
| Entity Type | Individual |
| Full Name | KYLE BOW |
| Credential | PTA |
| Practice Address |
618 Jackson St Rockdale TX 76567-2216 |
| Practice Telephone | 5124291575 |
| Mailing Telephone | 5124291575 |
| Enumeration Date | 2014-12-21 |
| Last Update Date | 2014-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2084702 | TX | Ambulatory Health Care Facilities |
| Street Address |
618 JACKSON ST |
| City | ROCKDALE |
| State | TX |
| Zip Code | 76567-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912372459 | Rockdale Snf LLC | Skilled Nursing Facility | 1350 W Us Highway 79, Rockdale, TX 76567 | 2015-12-09 |
| 1295125391 | Melinda Richards Catching | Speech-Language Pathologist | 123 West Cameron Ave., Rockdale, TX 76567 | 2015-01-27 |
| 1285911123 | Rockdale Blackhawk, LLC | Clinic/Center | 1700 Brazos, Suite A, B and C, Rockdale, TX 76567 | 2011-11-07 |
| 1447206669 | Christen J Leblanc | Emergency Medicine | 1700 Brazos Ave., Rockdale, TX 76567 | 2006-05-26 |
| 1316373616 | Kristi Lynn Estrada | Nurse Practitioner | 1700 Brazos, Rockdale, TX 76567 | 2013-09-18 |
| 1205309028 | Bradford Ingram | Licensed Vocational Nurse | 1800 Sager Rd, Rockdale, TX 76567-2060 | 2019-01-03 |
| 1932409786 | Malda Mayo Burns | Counselor | 1503 Skyles Rd, Rockdale, TX 76567-2074 | 2010-10-27 |
| 1740580356 | Burns Professional Services LLC | Community/Behavioral Health | 1503 Skyles Rd, Rockdale, TX 76567-2074 | 2010-10-28 |
| 1639259179 | Arboretum Health Care, Inc. | Skilled Nursing Facility | 700 Dyer St, Rockdale, TX 76567-2208 | 2006-10-17 |
| 1740559640 | Alison Parker | Speech-Language Pathologist | 700 Dyer St, Rockdale, TX 76567-2208 | 2011-12-21 |
| Find all providers in zip 76567 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114609 | Grace Physical Therapy and Wellness | Clinic/Center | 2218 Ridgedale Dr, Arlington, TX 76013-5423 | 2020-11-02 |
| 1992306419 | Victory Wellness Pllc | Clinic/Center | 7209 Fair Valley Way, Plano, TX 75024-3487 | 2020-11-02 |
| 1639770100 | Modern Physical Therapy | Clinic/Center | 5151 Katy Fwy Ste 209, Houston, TX 77007-2260 | 2020-11-02 |
| 1477154011 | Innovative Occupational Therapy | Clinic/Center | 1100 Lake Carolyn Pkwy, Irving, TX 75039-4701 | 2020-11-02 |
| 1760082390 | Optimal Physical Therapy & Pain Relief | Clinic/Center | 3400 Mcmillen Rd Apt 7305, Wylie, TX 75098-7729 | 2020-11-01 |
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 1841898137 | Pineywoods Physical Therapy LLC | Clinic/Center | 1400 West 6th Street, Suite 6 and 7, Rusk, TX 75785 | 2020-10-09 |
| 1457958225 | Majestic Rehabilitation and Wellnes Inc | Clinic/Center | 11199 Pellicano Dr Ste A, El Paso, TX 79935-5304 | 2020-10-05 |
| 1053928093 | Aleya Wellness Pllc | Clinic/Center | 2528 Rusty Spur, Leander, TX 78641-8797 | 2020-09-24 |
| 1679189351 | Omega Sport Physical Therapy and Performance LLC | Clinic/Center | 5432 Holly Rd, Corpus Christi, TX 78411-4635 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.