Jeffrey Faber, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

09337R Issued in LA

Practice address

816 Harding St
Lafayette, LA 70503-2320

Phone

(337) 232-3111

Fax

(337) 232-5400

NPI assigned

Jul 26, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• MTS-LGH Therapy Services LLC

  • Physical Therapist
  • Lafayette, LA
  • NPI 1972024081
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1174076285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 HARDING ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032320",
            "telephone_number": "337-232-3111",
            "fax_number": "337-232-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 HARDING ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032320",
            "telephone_number": "337-232-3111",
            "fax_number": "337-232-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "JEFFREY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09337R",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "ATH.200188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyemart Express LTD
• Jenna Eymard
• Eryn Ezell, NCPT
• Rachel Ezulike, PHARMD
• Philip Jules Fabacher, MD
• Fabian Lugo MD, a Professional Medical Corporation
• Tracy Fabre, CRNA
• Factor- a
• Falcon Pharmacy LLC
• Grant Anthony Falcon, PT, DPT.

• All providers in Lafayette, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.