Individual provider Active NPI

Jennifer Lynn McDowell, PT

  • Physical Therapist
  • Cape Girardeau, MO
National Provider Identifier
1477824233
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2010026409 Issued in MO
Practice address
2400 Veterans Memorial Dr
Cape Girardeau, MO 63701-9620
Phone
(417) 719-0699
Fax
(877) 241-2393
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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 2010026409 MO Primary

Addresses

Primary practice location

2400 Veterans Memorial Dr
Cape Girardeau, MO 63701-9620

Mailing address

11097 Saint Charles Rock Rd
Saint Ann, MO 63074-1509
Phone (417) 719-0699

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

LicenseStateTypeSpecialty
2010026409MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pattonville School District 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.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1477824233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11097 SAINT CHARLES ROCK RD",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630741509",
            "telephone_number": "417-719-0699",
            "fax_number": "877-241-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 VETERANS MEMORIAL DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637019620",
            "telephone_number": "417-719-0699",
            "fax_number": "877-241-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2010026409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.