Individual provider Active NPI

Laura Fallon Gowdy, PT, DPT

  • Physical Therapist
  • Manahawkin, NJ
National Provider Identifier
1215520176
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01988200 Issued in NJ
Practice address
602 Route 72 E
Manahawkin, NJ 08050-3538
Phone
(609) 549-5015
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 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 40QA01988200 NJ Primary

Addresses

Primary practice location

602 Route 72 E
Manahawkin, NJ 08050-3538

Mailing address

502 Washington St
Toms River, NJ 08753-6745
Phone (732) 966-5309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223003165 NJ Practitioner - Physical Therapist in Private Practice 3779998877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thompson Medical and Chiropractic LLCGroup PAC ID 5395008163, 48 clinicians

Practice addresses (Care Compare)

424 S Main St
Forked River, NJ 08731-4654
Phone (609) 971-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barnegat Sports Rehabilitation & Physical Therapy LLC Physical Therapist CurrentSince Feb 16, 2021 Accepting new patients
Thompson Medical and Chiropractic LLC CurrentSince Sep 7, 2021 Accepting new patients
Thompson Medical and Chiropractic LLC Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients

Locations

770 Lighthouse Dr
Ste 170B
Barnegat, NJ 08005
Phone (609) 698-1073

602 Route 72 E
Ste 3
Manahawkin, NJ 08050
Phone (609) 549-5015

106 Apple St
Ste 100C
Tinton Falls, NJ 07724
Phone (732) 747-5022

810 Hooper Ave
Toms River, NJ 08753
Phone (732) 281-3200

Organizations & group practices 3

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": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1215520176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WASHINGTON ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536745",
            "telephone_number": "732-966-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ROUTE 72 E",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503538",
            "telephone_number": "609-549-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDY",
        "first_name": "LAURA",
        "middle_name": "FALLON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01988200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.