Elee Marcel Fairhart, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00002616 Issued in WA

Practice address

148 Division Street
Morton, WA 98356

Phone

(360) 496-5335

Fax

(360) 496-5181

NPI assigned

Jun 22, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Physical Therapy and Sports Rehabilitation

  • Physical Therapist
  • Morton, WA
  • NPI 1992808240
  NPD (past) Authorized official

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326044629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983560009",
            "telephone_number": "360-496-5335",
            "fax_number": "360-496-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 DIVISION STREET",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "98356",
            "telephone_number": "360-496-5335",
            "fax_number": "360-496-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRHART",
        "first_name": "ELEE",
        "middle_name": "MARCEL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00002616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "131920",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8334781",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Day, CRNA
• Demarest Inc (Colton Pharmacy)
• Sandra L Demarest, R.PH.
• Lareena Gayle Enquist, L.M.P.
• Evergreen Health and Wellness, PS
• Family Physical Therapy and Sports Rehabilitation
• Lindsay A Ford, RN
• Adam Thomas Garcia, DC
• Danica Gering
• Christopher Thomas Gordon, CRNA, DNAP

• Physical Therapist in Morton, WA
• Providers in Morton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.