Individual provider Active NPI

Jeffrey Laurence Fairley, PT, DPT, OCS

  • Sports Physical Therapist
  • Claremont, CA
National Provider Identifier
1285735431
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT25533 Issued in CA
Practice address
224 N Indian Hill Blvd
Claremont, CA 91711-4609
Phone
(909) 621-0477
NPI assigned
Sep 26, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PT25533 CA Primary
Orthopedic Physical Therapist 2251X0800X PT25533 CA

Addresses

Primary practice location

224 N Indian Hill Blvd
Claremont, CA 91711-4609

Mailing address

4232 Lynd Ave
Arcadia, CA 91006-5834
Phone (626) 821-5434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070518000245 CA Practitioner - Physical Therapist in Private Practice 9335244326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body Center Physical Therapy, IncGroup PAC ID 4880799873, 5 clinicians

Practice addresses (Care Compare)

224 N Indian Hill Blvd
Claremont, CA 91711-4609
Phone (909) 621-0447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25533CAMDSocial Worker
PT25533CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Center Physical Therapy, Inc Sports CurrentSince Nov 1, 2006 Accepting new patients

Locations

224 N Indian Hill Blvd
Claremont, CA 91711
Phone (909) 621-0447

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285735431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 LYND AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065834",
            "telephone_number": "626-821-5434",
            "fax_number": "626-821-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N INDIAN HILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114609",
            "telephone_number": "909-621-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRLEY",
        "first_name": "JEFFREY",
        "middle_name": "LAURENCE",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT25533",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT25533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.