Kilbrey D Fowler

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT0000002038 Issued in TN

Practice address

8524 Morin Rd
Chattanooga, TN 37421-3332

Phone

(423) 455-8358

Fax

(800) 470-1905

NPI assigned

Jun 15, 2012

Last updated

May 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Kilbrey D Fowler Professional name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• KF Pediatric Therapy

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1033890215
  NPD

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1326301276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 MORIN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213332",
            "telephone_number": "423-316-4759",
            "fax_number": "423-778-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8524 MORIN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213332",
            "telephone_number": "423-455-8358",
            "fax_number": "800-470-1905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Blackford St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374031405",
            "country_code": "US",
            "telephone_number": "423-778-6823",
            "fax_number": "423-778-2275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1090 McCallie Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374042800",
            "country_code": "US",
            "telephone_number": "423-455-8358",
            "fax_number": "800-470-1905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KILBREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "PT0000002038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045978",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KILBREY",
            "last_name": "FOWLER",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrew Harold Fowler, M.D.
• Cooper Fowler
• Elizabeth Fowler
• Erin Davis Fowler, MA, LPC-MHSP
• James Fowler
• Varenda Fowler, FNP
• Alicia Hope Fox, CNM
• Emily Fox
• Lauren A Fox
• Lisa Dionne Fox, MED, BCBA

• Pediatric Physical Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pediatric Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.