Individual provider Active NPI

Faraneh Fararooni, PT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1245489657
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12934 Issued in CA
Practice address
5130 N Palm Ave Ste 101
Fresno, CA 93704-2203
Phone
(559) 244-0394
Fax
(559) 244-0425
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12934 CA Primary

Addresses

Primary practice location

5130 N Palm Ave Ste 101
Fresno, CA 93704-2203

Mailing address

1618 E Revere Rd
Fresno, CA 93720-4250
Phone (559) 433-9322

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1245489657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 E REVERE RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204250",
            "telephone_number": "559-433-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 N PALM AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042203",
            "telephone_number": "559-244-0394",
            "fax_number": "559-244-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAROONI",
        "first_name": "FARANEH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "12934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.