Active NPI
Susan Dawn Fain, PT
- Physical Therapist
- Arlington, TX
National Provider Identifier
1457643736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1018877
- Practice address
- 800 W Arbrook Blvd
Suite 200
Arlington, TX 76015-4327 - Phone
- (817) 472-2200
- Fax
- (817) 467-9021
- NPI assigned
- May 5, 2011
- 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 | 1018877 | TX | Primary |
Addresses
Primary practice location
800 W Arbrook Blvd
Suite 200
Arlington, TX 76015-4327
Mailing address
800 W Arbrook Blvd
Suite 200
Arlington, TX 76015-4327
Phone (817) 472-2200
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 |
|---|---|---|---|
| 1018877 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1457643736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W ARBROOK BLVD",
"address_2": "SUITE 200",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760154327",
"telephone_number": "817-472-2200",
"fax_number": "817-467-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W ARBROOK BLVD",
"address_2": "SUITE 200",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760154327",
"telephone_number": "817-472-2200",
"fax_number": "817-467-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIN",
"first_name": "SUSAN",
"middle_name": "DAWN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1018877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.