Individual provider Active NPI

Jennifer D Fowler, MS, PT

  • Physical Therapist
  • Fayetteville, AR
National Provider Identifier
1790721892
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2561 Issued in AR
Practice address
3317 N Wimberly Dr FL 2
Fayetteville, AR 72703-4056
Phone
(479) 587-3185
Fax
(479) 587-3185
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 PT2561 AR Primary

Addresses

Primary practice location

3317 N Wimberly Dr FL 2
Fayetteville, AR 72703-4056

Mailing address

3317 N Wimberly Dr FL 2
Fayetteville, AR 72703-4056
Phone (479) 587-3185

Other practice location 1

1101 Horsebarn Rd
Rogers, AR 72758-8237
Phone (479) 271-4170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080724000068 AR Practitioner - Physical Therapist in Private Practice 3476626441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Orthopaedics, P.a.Group PAC ID 2860477189, 57 clinicians

Practice addresses (Care Compare)

3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Phone (479) 521-2752

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as apm
Quality
79.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT2561ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Orthopaedics, P.a. Physical Medicine & Rehabilitation CurrentSince Mar 23, 2023 Accepting new patients
Ozark Orthopaedics, PA CurrentSince Mar 23, 2023 Accepting new patients
Performance Physical Therapy Group Physical Therapist Past Accepting new patients

Locations

3317 N Wimberly Dr
Fl 2
Fayetteville, AR 72703
Phone (479) 587-3117

3317 N Wimberly Dr
Fayetteville, AR 72703
Phone (479) 521-2752

1101 S Horsebarn Rd
Rogers, AR 72758
Phone (479) 271-4170

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.fowler.1@18403.direct.athenahealth.com

Organizations & group practices 3

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1790721892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 N WIMBERLY DR FL 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034056",
            "telephone_number": "479-587-3185",
            "fax_number": "479-587-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 N WIMBERLY DR FL 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034056",
            "telephone_number": "479-587-3185",
            "fax_number": "479-587-3185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Horsebarn Rd",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588237",
            "country_code": "US",
            "telephone_number": "479-271-4170",
            "fax_number": "479-271-8095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.