Organization Active NPI

James Fowler PT., PC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1629196514
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014525-1 Issued in NY
Legal business name
JAMES FOWLER PT., PC
Practice address
873 Broadway
Suite 510
New York, NY 10003-1234
Phone
(212) 253-9383
Fax
(212) 253-5713
NPI assigned
Mar 27, 2007
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Mrs. Natalie Bogachek
Title
Medical Biller
Phone
(212) 253-9383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 014525-1 NY Primary

Addresses

Primary practice location

873 Broadway
Suite 510
New York, NY 10003-1234

Mailing address

873 Broadway,
Suite 510
New York, NY 10003-1234
Phone (212) 253-9383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080107000707 NY Part B Supplier - Clinic/Group Practice 5597655175 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

873 Broadway
Ste 501
New York, NY 10003
Phone (212) 253-9383

873 Broadway
Ste 510
New York, NY 10003
Phone (212) 253-9383

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1629196514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 BROADWAY,",
            "address_2": "SUITE 510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031234",
            "telephone_number": "212-253-9383",
            "fax_number": "212-253-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 BROADWAY",
            "address_2": "SUITE 510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031234",
            "telephone_number": "212-253-9383",
            "fax_number": "212-253-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES FOWLER PT., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "BOGACHEK",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "212-253-9383",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014525-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.