Individual provider Active NPI

Jared R Dowling, DPT

  • Physical Therapist
  • Madison, AL
National Provider Identifier
1396234290
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1-0902 Issued in AL
Practice address
97 Hughes Rd Ste P
Madison, AL 35758-3401
Phone
(256) 774-2978
Fax
(256) 774-2979
NPI assigned
May 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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 1-0902 AL Primary

Addresses

Primary practice location

97 Hughes Rd Ste P
Madison, AL 35758-3401

Mailing address

4240 Balmoral Dr SW Ste 100
Huntsville, AL 35801-5633
Phone (256) 883-1970

Other practice location 1

4240 Balmoral Dr SW Ste 100
Huntsville, AL 35801-5633
Phone (256) 883-1970

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
1-0902ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Riverchase LLC Physical Therapist CurrentSince Feb 2, 2021 Accepting new patients
Triple Threat Physical Therapy, Inc. Physical Therapist Current Accepting new patients

Locations

100 Little Valley Ct
Hoover, AL 35244
Phone (205) 874-9523

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.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1396234290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 BALMORAL DR SW STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015633",
            "telephone_number": "256-883-1970",
            "fax_number": "256-883-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 HUGHES RD STE P",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583401",
            "telephone_number": "256-774-2978",
            "fax_number": "256-774-2979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4240 Balmoral Dr SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015633",
            "country_code": "US",
            "telephone_number": "256-883-1970",
            "fax_number": "256-883-8061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWLING",
        "first_name": "JARED",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "1-0902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.