Individual provider Active NPI

Joshua Andrew Fowler

  • Physical Therapy Assistant
  • El Paso, TX
National Provider Identifier
1770265258
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2176368 Issued in TX
Practice address
5255 Woodrow Bean
El Paso, TX 79924-3832
Phone
(915) 206-4428
Fax
(915) 257-3511
NPI assigned
Aug 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2176368 TX Primary

Addresses

Primary practice location

5255 Woodrow Bean
El Paso, TX 79924-3832

Mailing address

10116 De Anza Cir
El Paso, TX 79925-7324
Phone (915) 238-5871

Other practice location 1

2114 N Zaragoza Rd Ste C1
El Paso, TX 79938-8129
Phone (915) 271-8030

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2176368TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Early Bird Pediatric Therapy Clinic, Inc PastSince Nov 10, 2019 Accepting new patients
Early Bird Pediatric Therapy Clinic, Inc PastSince Nov 3, 2019 Accepting new patients

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1770265258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 DE ANZA CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257324",
            "telephone_number": "915-238-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 WOODROW BEAN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799243832",
            "telephone_number": "915-206-4428",
            "fax_number": "915-257-3511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2114 N Zaragoza Rd Ste C1",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799388129",
            "country_code": "US",
            "telephone_number": "915-271-8030",
            "fax_number": "915-257-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JOSHUA",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2176368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.