Kristina M Fowler, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14780 Issued in FL

Practice address

8043 Spyglass Hill Rd
Melbourne, FL 32940

Phone

(321) 757-6899

NPI assigned

Sep 13, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axispro Physical Therapy LLCGroup PAC ID 5395035158, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristinafowler@direct.meditouchehr.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Axispro Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Melbourne, FL
  • NPI 1821443474
  Medicare reassignment Care Compare group NPD
• Dr Tanya Schrumpf DC Inc

  • Rehabilitation Chiropractor
  • Titusville, FL
  • NPI 1841404241
  Medicare reassignment NPD
• Medical Partners of Florida LLC

  • Neurological Surgery Physician
  • Titusville, FL
  • NPI 1821575960
  Medicare reassignment NPD

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1992990758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8043 SPYGLASS HILL RD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408563",
            "telephone_number": "321-757-6899",
            "fax_number": "321-757-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8043 SPYGLASS HILL RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-757-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Fountain, M.D.
• Corrine Ashley Fournier, OTR/L
• Irina Fout, LCSW
• Elizabeth Mae Fowler, M.D.
• Julie Lynn Fowler, MSW
• Michael Scott Fowler, D.M.D., PA.
• Sonya M Fowler, RBT
• Tara Fox-Bessey
• Nicholette Brittney Fox, MD
• Stacey Fox

• Physical Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.