Jackalyn L Gowder

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI005851 Issued in PA

Practice address

1700 Pine St
Norristown, PA 19401-3040

Phone

(610) 239-7100

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1932817111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 OAKLAND DR",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194032647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PINE ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013040",
            "telephone_number": "610-239-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDER",
        "first_name": "JACKALYN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI005851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Druker Gorenberg, MS, OTR/L
• James Gorman
• Jerry Gotlieb, MD
• Kayla M Gottstein, PHARM.D.
• Elio Albert Gould
• Frank Leonard Grabuski
• Grace Divine Homecare LLC
• Adele Grasinger, COTA/L
• Cory Gray, P.T., D.P.T., A.T.C.
• Rosella Gray, RN

• Physical Therapy Assistant in Norristown, PA
• Providers in Norristown, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.