Individual provider Active NPI

Jaclyn A Brower, DPT

  • Physical Therapist
  • Pompton Plains, NJ
National Provider Identifier
1194071571
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01455300 Issued in NJ
Practice address
201 Boulevard
Pompton Plains, NJ 07444-1914
Phone
(973) 417-3267
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01455300 NJ Primary

Addresses

Primary practice location

201 Boulevard
Pompton Plains, NJ 07444-1914

Mailing address

201 Boulevard
Pompton Plains, NJ 07444-1914
Phone (973) 417-3267

Other practice location 1

197 US Highway 46
Budd Lake, NJ 07828-3009
Phone (973) 362-0155

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01455300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jaclyn Brower Physical Therapy LLC CurrentSince May 25, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1194071571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BOULEVARD",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441914",
            "telephone_number": "973-417-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BOULEVARD",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441914",
            "telephone_number": "973-417-3267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 US Highway 46",
            "address_purpose": "LOCATION",
            "city": "Budd Lake",
            "state": "NJ",
            "postal_code": "078283009",
            "country_code": "US",
            "telephone_number": "973-362-0155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWER",
        "first_name": "JACLYN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01455300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.