NPIMap

Organization Active NPI

Fife Therapy Services, LLC

Doing business as Fife Therapy

  • Physical Therapist
  • Savannah, GA
National Provider Identifier
1366826851
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FIFE THERAPY SERVICES, LLC
Doing business as
Fife Therapy
Practice address
6 Mall Ter
Savannah, GA 31406-3602
Phone
(912) 239-6140
Fax
(912) 335-3539
NPI assigned
Jul 14, 2015
Last updated
Jan 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Alia Allen
Title
Credentialing Manager
Phone
(912) 441-1009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6 Mall Ter
Savannah, GA 31406-3602

Mailing address

6 Mall Ter
Savannah, GA 31406-3602
Phone (912) 239-6140

Other practice location 1

5111 Abercorn St
Savannah, GA 31405-5214
Phone (912) 239-6140

Other names 1

  • Fife Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160401001154 GA Part B Supplier - Clinic/Group Practice 1456658699 Receives reassigned benefits from 7 practitioners
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory
Tax ID family
Fife Therapy Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1366826851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MALL TER",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063602",
            "telephone_number": "912-239-6140",
            "fax_number": "912-335-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MALL TER",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063602",
            "telephone_number": "912-239-6140",
            "fax_number": "912-335-3539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5111 Abercorn St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314055214",
            "country_code": "US",
            "telephone_number": "912-239-6140",
            "fax_number": "912-335-3539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIFE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ALIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "912-441-1009"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fife Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fife Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.