Active NPI
Isabel Nicole Fairbanks
- Physical Therapist
- North Andover, MA
National Provider Identifier
1336009547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL89186
- Practice address
- 140 Prescott St
North Andover, MA 01845-1826 - Phone
- (978) 685-8086
- NPI assigned
- Nov 12, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501304136 | MI | |
| Physical Therapist | 225100000X | PTL89186 | MA | Primary |
Addresses
Primary practice location
140 Prescott St
North Andover, MA 01845-1826
Mailing address
2720 Foxgrove Dr
Highland, MI 48356-2468
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL89186 | MA | MD | Physical Therapist |
| 5501304136 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1336009547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 FOXGROVE DR",
"city": "HIGHLAND",
"state": "MI",
"postal_code": "483562468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PRESCOTT ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018451826",
"telephone_number": "978-685-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRBANKS",
"first_name": "ISABEL",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-12",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501304136",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL89186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.