Individual provider Active NPI

Kayla Rae Mowdy, DPT

  • Physical Therapist
  • Foley, AL
National Provider Identifier
1659729614
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6907 Issued in AL
Practice address
1117B N McKenzie St
Foley, AL 36535-3550
Phone
(601) 513-1773
NPI assigned
Jun 1, 2016
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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 PTH6907 AL Primary

Addresses

Primary practice location

1117B N McKenzie St
Foley, AL 36535-3550

Mailing address

1117B N McKenzie St
Foley, AL 36535-3550
Phone (251) 215-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160701001458 AL Practitioner - Physical Therapist in Private Practice 7113219650 Reassigns benefits to 1 organization
I20240111000309 MS Practitioner - Physical Therapist in Private Practice 7113219650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Alabama College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4700 26TH Ave
Meridian, MS 39305-4706
Phone (601) 633-7324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH6907ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Future Physical Therapy, LLC CurrentSince Jul 30, 2020 Accepting new patients
Future Family Center LLC Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients

Locations

1117B N McKenzie St
Foley, AL 36535
Phone (251) 215-4900

1410 N McKenzie St
Foley, AL 36535
Phone (251) 943-2787

4700 26th Ave
Meridian, MS 39305
Phone (601) 453-3249

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1659729614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117B N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353550",
            "telephone_number": "251-215-4900",
            "fax_number": "251-218-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117B N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353550",
            "telephone_number": "601-513-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWDY",
        "first_name": "KAYLA",
        "middle_name": "RAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.