Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Simon Charles Fowler, PTA

Individual provider Physical Therapy Assistant · NPI 1811693674

Simon Charles Fowler, PTA is a Physical Therapy Assistant in Kennesaw, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1615 Ridenour Blvd NW
Kennesaw, GA 30152-4463
Phone: (770) 580-8070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA005007 (GA)

Record details

NPI number1811693674
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedFebruary 3, 2023
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 2, 2023

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