Active NPI
Sydnie Nicole Nowlen, LPTA
- Physical Therapy Assistant
- Jackson, MS
National Provider Identifier
1285528844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA7601
- Practice address
- 5140 Galaxie Dr
Jackson, MS 39206-4335 - Phone
- (769) 216-3288
- Fax
- (601) 510-9012
- NPI assigned
- Jun 6, 2025
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA7601 | MS | Primary |
Addresses
Primary practice location
5140 Galaxie Dr
Jackson, MS 39206-4335
Mailing address
PO Box 75
Madison, MS 39130-0075
Phone (769) 216-3288
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 |
|---|---|---|---|
| PTA7601 | MS | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inmotion Rehab LLC | Physical Therapy Assistant | Current | Accepting new patients |
| Inmotion Rehab, LLC | Past | Accepting new patients |
Locations
5140 Galaxie Dr
Jackson, MS 39206
Phone (769) 216-3288
Organizations & group practices 2
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 Therapy Assistant
- Jackson, MS
- NPI 1801435334
-
- Physical Therapy Clinic/Center
- Jackson, MS
- NPI 1699145490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1285528844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75",
"city": "MADISON",
"state": "MS",
"postal_code": "391300075",
"telephone_number": "769-216-3288",
"fax_number": "601-510-9012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 GALAXIE DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392064335",
"telephone_number": "769-216-3288",
"fax_number": "601-510-9012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWLEN",
"first_name": "SYDNIE",
"middle_name": "NICOLE",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-06",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MS",
"license": "PTA7601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.