Gary P. Fairchild, OCCUPATIONAL THERAPY

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105397 Issued in TX

Practice address

5026 Deepwood Cir
Corpus Christi, TX 78415-2901

Phone

(361) 664-9675

Fax

(361) 664-1100

NPI assigned

Jul 13, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of Texas Medical Branch at Galveston, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Stride Physical Therapy and RehabilitationGroup PAC ID 8527005354, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• New Stride Physical Therapy & Rehabilitation

  • Physical Therapist
  • Corpus Christi, TX
  • NPI 1366404394

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1386669794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 DEEPWOOD CIR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152901",
            "telephone_number": "361-664-9675",
            "fax_number": "361-664-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 DEEPWOOD CIR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152901",
            "telephone_number": "361-664-9675",
            "fax_number": "361-664-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "GARY",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "OCCUPATIONAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "105397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T3278",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.