Michael Fairchild, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61590879 Issued in WA

Practice address

5000 30TH Ave NE
Seattle, WA 98105-3156

Phone

(206) 466-1918

Fax

(206) 588-2794

NPI assigned

Aug 30, 2024

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Washington School of Medicine, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Bespoke Treatments Seattle PT PLLCGroup PAC ID 4880950674, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Bespoke Treatments Seattle PT PLLC

  • Physical Therapist
  • Seattle, WA
  • NPI 1184140246
  Medicare reassignment Care Compare group NPD
• Vascular & Surgical Care Northwest, PLLC

  • Vascular Surgery Physician
  • Seattle, WA
  • NPI 1427321405
  NPD (past)

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1548094568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 30TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 30TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053156",
            "telephone_number": "206-466-1918",
            "fax_number": "206-588-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61590879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Fairbanks, DNP, MPH, ARNP
• Todd Paul Fairbanks, DDS
• Evan Fairbourn
• Laura Fairbrook, DC
• Laura Fairchild
• Erin Lynne Faircloth, LMP
• Fairfax Hospital Inc
• Anna Fairhart
• Jenrenee Lorraine Fairlane, RN
• Aaron Faist, LMHC SUDP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.