DR. CAROLYN WELLBORN FOWLER (DPT) – Orthopedic Physical Therapist, NPI 1720573199

DR. CAROLYN WELLBORN FOWLER (DPT) is a healthcare provider. based in Marysville, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 09750 (LA). The NPI Number for DR. CAROLYN WELLBORN FOWLER (DPT) is 1720573199

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAROLYN WELLBORN FOWLER (DPT)
NPI
1720573199
Phone
(360) 386-7405
Address
919 STATE AVE STE 101
Enumeration Date
27 June 2018
Last Update Date
25 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5043756413
Graduation Year
2017 (9 years ago)
PAC ID
7012256662
Group Practice PAC ID
2668562448
Professional Enrollment ID
I20190227000406
Address ID
LA700723112MA920XXBXXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for DR. CAROLYN WELLBORN FOWLER (DPT)

  • 919 STATE AVE STE 101

    MARYSVILLE, WA 982704284

    Phone: (360) 386-7405

    Fax: (360) 386-7406

    Type: Location

  • 15446 BEL RED RD STE B20

    REDMOND, WA 980525526

    Phone: (425) 869-2777

    Fax: (425) 869-0167

    Type: Location

  • 2613 Napoleon Ave

    New Orleans, LA 701156306

    Phone: (504) 733-0254

    Type: Location

  • 919 State Ave Ste 101

    Marysville, WA 982704284

    Phone: (360) 386-7405

    Fax: (360) 386-7406

    Type: Location

  • 4220 132ND ST SE STE 101

    MILL CREEK, WA 980128999

    Phone: (425) 316-8046

    Fax: (425) 659-7449

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190227000406IPhysical Therapist In Private PracticeLATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98270)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668562448View full group profile
NameSpecialtyState
-LA
Orthopedic SurgeryLA
Orthopedic Surgery, Sports MedicineLA
-LA
Physician AssistantLA
-LA
Occupational Therapist In Private PracticeLA

Reviews

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Frequently asked questions

What federal number belongs to DR. CAROLYN WELLBORN FOWLER (DPT)?
The federal identifier for DR. CAROLYN WELLBORN FOWLER (DPT) is NPI 1720573199.
Is DR. CAROLYN WELLBORN FOWLER (DPT) currently active in the NPI registry?
CMS-published data lists DR. CAROLYN WELLBORN FOWLER (DPT) as an active registrant.
Can you summarize DR. CAROLYN WELLBORN FOWLER (DPT)'s specialty in plain language?
Clinically, the directory lists DR. CAROLYN WELLBORN FOWLER (DPT) with Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CAROLYN WELLBORN FOWLER (DPT)?
The page summarizes Marysville, Washington for DR. CAROLYN WELLBORN FOWLER (DPT); expand the address list for detail.
How can I contact DR. CAROLYN WELLBORN FOWLER (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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