Active NPI
Keithen Faerber, PT, DPT
- Physical Therapist
- Norman, OK
National Provider Identifier
1033849211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6172
- Practice address
- 2002 E Robinson St
Norman, OK 73071-7420 - Phone
- (405) 307-2800
- NPI assigned
- Jun 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6172 | OK | Primary |
Addresses
Primary practice location
2002 E Robinson St
Norman, OK 73071-7420
Mailing address
16117 Raindust Dr
Oklahoma City, OK 73170-3513
Phone (405) 905-4315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6172 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654992000000",
"number": "1033849211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16117 RAINDUST DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731703513",
"telephone_number": "405-905-4315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 E ROBINSON ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730717420",
"telephone_number": "405-307-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAERBER",
"first_name": "KEITHEN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-12",
"last_updated": "2022-06-12",
"certification_date": "2022-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.