NPIMap

Organization Active NPI

Fowler Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
National Provider Identifier
1831071257
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FOWLER PHYSICAL THERAPY PLLC
Practice address
10105 W 26TH Ave Ste 102
Wheat Ridge, CO 80215-6653
Phone
(303) 418-8674
NPI assigned
Jul 25, 2025
Last updated
Jul 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Rebecca Melody Pallas Fowler, PT, DPTNPI 1962871996
Title
Physical Therapist
Phone
(303) 418-8674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

10105 W 26TH Ave Ste 102
Wheat Ridge, CO 80215-6653

Mailing address

1082 Garrison St
Lakewood, CO 80215-4728
Phone (720) 334-4514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251014004573 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820585763 Receives reassigned benefits from 1 practitioner
Practice locations: Wheat Ridge, CO

National Provider Directory

National Provider Directory

Locations

10105 W 26th Ave
Ste 102
Wheat Ridge, CO 80215
Phone (303) 418-8674

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1831071257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 GARRISON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154728",
            "telephone_number": "720-334-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 W 26TH AVE STE 102",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "802156653",
            "telephone_number": "303-418-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MELODY PALLAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "303-418-8674",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.