Individual provider Active NPI

Janet Chen Fowler, MPT

  • Physical Therapist
  • Everett, WA
National Provider Identifier
1700926375
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007824 Issued in WA
Practice address
10511 19TH Ave SE Ste B
Everett, WA 98208-4279
Phone
(425) 357-8885
Fax
(425) 357-8454
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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 PT00007824 WA Primary

Addresses

Primary practice location

10511 19TH Ave SE Ste B
Everett, WA 98208-4279

Mailing address

10505 19TH Ave SE
Suite B
Everett, WA 98208-4280
Phone (408) 570-0510

Other identifiers 1

IdentifierTypeStateIssuer
8373862MedicaidWA

Other names 1

  • Janet C Chen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090527000131 WA Practitioner - Physical Therapist in Private Practice 4183773914 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00007824WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Apr 1, 2015 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Apr 1, 2015 Accepting new patients

Locations

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

10505 19th Ave SE
Ste B
Everett, WA 98208
Phone (408) 570-0510

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1700926375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 19TH AVE SE",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084280",
            "telephone_number": "408-570-0510",
            "fax_number": "408-945-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 19TH AVE SE STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084279",
            "telephone_number": "425-357-8885",
            "fax_number": "425-357-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JANET",
        "middle_name": "CHEN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8373862",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "CHEN",
            "middle_name": "C",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.