Kristin Sha Bowen, MS, OTR/L
Occupational Therapist in Louisville, KY. Individual provider (NPI-1).
NPI number1336758333
StatusActive
Last updated in NPPESJul 29, 2020
Details
- NPI
- 1336758333
- Entity type
- Individual (NPI-1)
- Name
- Kristin Sha Bowen
- Credential
- MS, OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2020
- Certification date
- Jul 29, 2020
- Last updated
- Jul 29, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 264955 | KY | Yes |
Practice location
11610 Apex View Dr Apt 202Louisville, KY 40229-8308
Phone 606-233-3417
Mailing address
11610 Apex View Dr Apt 202Louisville, KY 40229-8308
Phone 606-233-3417
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