Active NPI
James Edward Fife, PT, DPT
- Physical Therapist
- El Dorado, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP017183T
- Practice address
- 2348 W Central Ave Ste B
El Dorado, KS 67042-3465 - Phone
- (316) 452-5033
- Fax
- (316) 452-5053
- NPI assigned
- Jun 7, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012409 | GA | |
| Physical Therapist | 225100000X | 1359583 | TX | |
| Physical Therapist | 225100000X | 11-07119 | KS | |
| Physical Therapist | 225100000X | CP017183T | KY | Primary |
Addresses
Primary practice location
2348 W Central Ave Ste B
El Dorado, KS 67042-3465
Mailing address
321 S 3Rd St Ste B
Danville, KY 40422-2090
Phone (859) 236-7012
Other practice location 1
321 S 3rd St Ste B
Danville, KY 40422-2090
Phone (859) 236-7012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250904002501 | AK | Practitioner - Physical Therapist in Private Practice | 1355634163 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Progressive Physical Therapy
Practice addresses (Care Compare)
718 K St
Suite D
Anchorage, AK 99501-3318
Phone (907) 748-0022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012409 | GA | MD | Physical Therapist |
| 1359583 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
2221 E Northern Lights Blvd
Ste 108
Anchorage, AK 99508
Phone (907) 277-5337
135 W Dimond Blvd
Ste 101
Anchorage, AK 99515
Phone (907) 748-0022
718 K St
Ste D
Anchorage, AK 99501
Phone (907) 748-0022
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1043669401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 S 3RD ST STE B",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222090",
"telephone_number": "859-236-7012",
"fax_number": "859-236-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2348 W CENTRAL AVE STE B",
"city": "EL DORADO",
"state": "KS",
"postal_code": "670423465",
"telephone_number": "316-452-5033",
"fax_number": "316-452-5053"
}
],
"practiceLocations": [
{
"address_1": "321 S 3rd St Ste B",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "KY",
"postal_code": "404222090",
"country_code": "US",
"telephone_number": "859-236-7012",
"fax_number": "859-236-7407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIFE",
"first_name": "JAMES",
"middle_name": "EDWARD",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-07",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012409",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1359583",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-07119",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "CP017183T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.