Active NPI
Jennifer Lynn McDowell, PT
- Physical Therapist
- Cape Girardeau, MO
National Provider Identifier
1477824233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2010026409
- 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
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2010026409 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Local Education Agency (LEA)
- Saint Ann, MO
- NPI 1578627758
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.