Carolyn Wellborn Fowler, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

09750 Issued in LA

Practice address

15446 Bel Red Rd Ste B20
Redmond, WA 98052-5526

Phone

(425) 869-2777

Fax

(425) 869-0167

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carolyn Cox Wellborn Former name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pontchartrain Bone and Joint Clinic LTDGroup PAC ID 8426091497, 18 clinicians

L Thomas Cashio MD and Mark Juneau Jr MD,PCGroup PAC ID 2668562448, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/Freedom_PBJC

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.

• L Thomas Cashio MD & Mark Juneau Jr MD,PC

  • Orthopaedic Surgery Physician
  • Marrero, LA
  • NPI 1336288752
  Medicare reassignment Care Compare group NPD
• Pontchartrain Bone & Joint Clinic, LTD.

  • Orthopaedic Surgery Physician
  • Metairie, LA
  • NPI 1649351529
  Medicare reassignment Care Compare group NPD
• Pontchartrain Bone & Joint Clinic, LTD.

  • Durable Medical Equipment & Medical Supplies
  • Boutte, LA
  • NPI 1073387338
  NPD
• Pro-Active Sportsmed PLLC

  • Orthopedic Physical Therapist
  • Tumwater, WA
  • NPI 1861612335
  NPD (past)
• Synergy Physical Therapy & Performance III, LLC

  • Physical Therapy Clinic/Center
  • New Orleans, LA
  • NPI 1922711878

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1720573199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 132ND ST SE STE 101",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980128999",
            "telephone_number": "425-316-8046",
            "fax_number": "425-659-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15446 BEL RED RD STE B20",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525526",
            "telephone_number": "425-869-2777",
            "fax_number": "425-869-0167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2613 Napoleon Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701156306",
            "country_code": "US",
            "telephone_number": "504-733-0254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 State Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982704284",
            "country_code": "US",
            "telephone_number": "360-386-7405",
            "fax_number": "360-386-7406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "CAROLYN",
        "middle_name": "WELLBORN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "09750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "WELLBORN",
            "middle_name": "COX",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paula Lorrell Forehand, LMP
• Jeffrey Alan Forrey, O.D.
• Mary K Fors, R.PH
• Foundations for Learning and Behavior
• Foundations for Learning and Behavior Dba Eastside ABA
• Michele Fowler, PT
• Shannon J Fox
• Jennifer Frank-Doggett, MA, LMHC
• Gina Frank, MSW, LSWAIC
• Leonard Robert Frank, M.D.

• Orthopedic Physical Therapist in Redmond, WA
• Providers in Redmond, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.