Active NPI
Beverly Jane Dowling, PT
- Physical Therapist
- Fort Jones, CA
National Provider Identifier
1649411943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9004
- Practice address
- 122 Scott River Rd
Fort Jones, CA 96032-9620 - Phone
- (530) 468-5528
- NPI assigned
- Mar 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | PT9004 | CA | Primary |
Addresses
Primary practice location
122 Scott River Rd
Fort Jones, CA 96032-9620
Mailing address
PO Box 217
Fort Jones, CA 96032-0217
Phone (530) 468-5528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BV919Z | Other | CA | MEDICARE PTAN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT9004 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1649411943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217",
"city": "FORT JONES",
"state": "CA",
"postal_code": "960320217",
"telephone_number": "530-468-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 SCOTT RIVER RD",
"city": "FORT JONES",
"state": "CA",
"postal_code": "960329620",
"telephone_number": "530-468-5528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWLING",
"first_name": "BEVERLY",
"middle_name": "JANE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT9004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "BV919Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Jones, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.