Individual provider Active NPI

James Edward Fife, PT, DPT

  • Physical Therapist
  • El Dorado, KS
National Provider Identifier
1043669401
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP017183T Issued in KY
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

Updated by the provider on Dec 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 21 clinicians

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

LicenseStateTypeSpecialty
PT012409GAMDPhysical Therapist
1359583TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy Physical Therapist CurrentSince Jun 15, 2025 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.

Verify at the official NPI Registry.