Jason Lee Fowler, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004150 Issued in KY

Practice address

3099 Breckenridge LN Ste 107
Louisville, KY 40220-2120

Phone

(502) 963-5229

Fax

(502) 963-5365

NPI assigned

Apr 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthocincy Orthopaedics and Sports Medicine PSCGroup PAC ID 3173500196, 163 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Orthocincy Orthopaedics & Sports Medicine PSC

  • Orthopaedic Surgery Physician
  • Edgewood, KY
  • NPI 1598714560
  Medicare reassignment Care Compare group
• Agilitas USA Inc

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  KY, Physical Therapist

  Medicare reassignment NPD
• Benchmark Physical Therapy Indiana LLC

  • Physical Therapist
  • Westfield, IN
  • NPI 1356930564
  Medicare reassignment NPD
• Benchmark Physical Therapy of Ky LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1043734221

  KY

  Medicare reassignment NPD
• Commonwealth Pain Associates, PLLC

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1306280177
  Medicare reassignment
• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD
• Agilitas USA Inc

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1609117811
  NPD (past)
• Apex Physical Therapy and Rehabilitation, PLLC

  • Physical Therapist
  • Louisville, KY
  • NPI 1649218306
  NPD (past)
• Center for Physical Therapy

  • Physical Therapy Clinic/Center
  • Batavia, OH
  • NPI 1396931168
  NPD (past)
• Center for Physical Therapy

  • Clinic/Center
  • Cincinnati, OH
  • NPI 1417053992
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1962677708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 BRECKENRIDGE LN STE 107",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202120",
            "telephone_number": "502-963-5229",
            "fax_number": "502-963-5365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074202",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JASON",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID NUMBER",
            "identifier": "6464207",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDER ID NUMBER",
            "identifier": "6830783",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100642510",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE PROVIDER ID NUMBER",
            "identifier": "CS2003600562",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300033296",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID NUMBER",
            "identifier": "000001332483",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF KY PROVIDER ID NUMBER",
            "identifier": "2143551",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER",
            "identifier": "PDZ000000455121",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Covington Fowler, DPT
• Chelsea Fowler, APRN
• Destiney Nicole Fowler
• Gency Fowler, RN
• Grace Nicole Fowler, MD
• Jennifer Rose Fowler
• Jeremy David Fowler, O.D.
• Joseph F Fowler Jr., M.D.
• Kristin Kellen Fowler, MSPT
• Morgan Elizabeth Fowler, RD

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.