Jacqueline Bernice Fowler, HAPP, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

Practice address

8620 Maple Ave
Gary, IN 46403-1423

Phone

(219) 963-2956

NPI assigned

Mar 13, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1053582445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 MAPLE AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464031423",
            "telephone_number": "219-963-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 MAPLE AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464031423",
            "telephone_number": "219-963-2956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8620 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Gary",
            "state": "IN",
            "postal_code": "464031423",
            "country_code": "US",
            "telephone_number": "219-963-2956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JACQUELINE",
        "middle_name": "BERNICE",
        "name_prefix": "Ms.",
        "credential": "HAPP, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "00000",
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST/ MECHANO THERAPIST",
            "identifier": "MT209011898",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOLISTIC ALTERNATIVE PSYCHOLOGY PRACTITIONER",
            "identifier": "00000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perlean Fizer
• Ta'Kia Fleming-Pillow
• Bunnie J Fleming, LPN
• Steven Flynn, M.D.
• Michael Foreit, D.O.
• Curtis Freeman
• Lashawn Freeman, DPM
• Fresenius Medical Care NW Indiana, LLC
• Janee' Lenese Fuller, MSW
• Jessica Fullilove

• Mechanotherapist in Gary, IN
• Providers in Gary, IN by specialty
• Mechanotherapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.