Active NPI
Alaitia Rae Fox, PT, DPT
- Physical Therapist
- Flagstaff, AZ
National Provider Identifier
1316440738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13639
- Practice address
- 2915 North 4TH Street
Flagstaff, AZ 86004 - Phone
- (928) 779-1679
- Fax
- (928) 779-2822
- NPI assigned
- Mar 12, 2018
- Last updated
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13639 | AZ | Primary |
Addresses
Primary practice location
2915 North 4TH Street
Flagstaff, AZ 86004
Mailing address
2915 North 4TH Street
Flagstaff, AZ 86004
Phone (928) 779-1679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375127 | Medicaid | AZ |
Other names 1
- Alaitia Enjady
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13639 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1316440738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2915 NORTH 4TH STREET",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86004",
"telephone_number": "928-779-1679",
"fax_number": "928-779-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 NORTH 4TH STREET",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86004",
"telephone_number": "928-779-1679",
"fax_number": "928-779-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "ALAITIA",
"middle_name": "RAE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-12",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "13639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375127",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALAITIA",
"last_name": "ENJADY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Flagstaff, AZ
- Foundations Physical Therapy
- Founders Healthcare, LLC (Preferred Homecare)
- Fountain Anesthesia, LLC
- Four Peaks Health Care Associates PLLC
- Four Seasons Mental Health PLLC (Cheryl Carstens PMHNP)
- Hannah Fox, MD
- Nicholas Vincent Franceschini, MD
- Kendra Marum Franchi, NBCC
- Karen Olivia Francis, RN
- Mark David Francom, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.