Tailer Paige Fowler

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5113 Issued in ID

Practice address

3111 Channing Way
Idaho Falls, ID 83404-7534

Phone

(208) 529-0067

NPI assigned

Apr 29, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1417578519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 14TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045910",
            "telephone_number": "208-243-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047534",
            "telephone_number": "208-529-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "TAILER",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "5113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley N Ford, D.O.
• Forrester Academy, Inc. (Alturas International Academy)
• John Gregory Foster, CRNA
• Allen J Fowler, ADC
• Cody Fowler, P.A.-C
• Melanie Francis
• Justin Frandsen, DDS
• Aaron Mart Frazier Jr.
• Fred Meyer Stores Inc (Fred Meyer Pharmacy)
• Maeser Gleyre Frederickson, LMSW

• Physical Therapy Assistant in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Physical Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.