Active NPI
Michelle Lynn McDowell, DPT, CLT
- Physical Therapist
- West Burlington, IA
National Provider Identifier
1083234660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03001
- Practice address
- 1401 W Agency Rd
West Burlington, IA 52655-1659 - Phone
- (319) 768-4100
- Fax
- (319) 768-4160
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03001 | IA | Primary |
Addresses
Primary practice location
1401 W Agency Rd
West Burlington, IA 52655-1659
Mailing address
1401 W Agency Rd
West Burlington, IA 52655-1659
Phone (319) 768-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03001 | IA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1083234660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W AGENCY RD",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551659",
"telephone_number": "319-768-4100",
"fax_number": "319-768-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W AGENCY RD",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551659",
"telephone_number": "319-768-4100",
"fax_number": "319-768-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOWELL",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "DPT, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.