Active NPI
Judy Lynn Marriott-Fowler, LMT
- Massage Therapist
- New York, NY
National Provider Identifier
1265667273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 019267-1
- Practice address
- 873 Broadway
Suite 510
New York, NY 10003-1231 - Phone
- (212) 253-9383
- Fax
- (212) 253-5713
- NPI assigned
- May 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 019267-1 | NY | Primary |
Addresses
Primary practice location
873 Broadway
Suite 510
New York, NY 10003-1231
Mailing address
873 Broadway
Suite 510
New York, NY 10003-1231
Phone (917) 297-8169
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 |
|---|---|---|---|
| 019267-1 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Fowler PT., PC | Past | 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.
-
- Physical Therapist
- New York, NY
- NPI 1629196514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1265667273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "873 BROADWAY",
"address_2": "SUITE 510",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031231",
"telephone_number": "917-297-8169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "873 BROADWAY",
"address_2": "SUITE 510",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031231",
"telephone_number": "212-253-9383",
"fax_number": "212-253-5713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRIOTT-FOWLER",
"first_name": "JUDY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "019267-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.