Jennifer A Fairbank, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4270 Minton Rd
West Melbourne, FL 32904

Phone

(321) 984-2933

Fax

(321) 953-5379

NPI assigned

Aug 25, 2006

Last updated

Aug 9, 2018By the provider in NPPES

Sex

Female

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, 257 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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

• H2 Rehabilitation Services of Florida LLC

  dba Beachside Physical Therapy

  • Rehabilitation Clinic/Center
  • Indian Harbour Beach, FL
  • NPI 1417775784

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Beachside Physical Therapy, Inc.

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1457390874
  Medicare reassignment NPD
• Beachside Physical Therapy Inc

  • Physical Therapist
  • West Melbourne, FL
  • NPI 1295902450
  NPD
• Beachside Physical Therapy Inc

  • Physical Therapist
  • Melbourne, FL
  • NPI 1346288974
  NPD
• H2 Rehabilitation Services of Florida LLC

  dba Beachside Physical Therapy

  • Rehabilitation Clinic/Center
  • West Melbourne, FL
  • NPI 1366269144
  NPD
• H2 Rehabilitation Services of Florida LLC

  dba Beachside Physical Therapy

  • Rehabilitation Clinic/Center
  • Melbourne, FL
  • NPI 1902623788
  NPD
• H2 Rehabilitation Services of Florida LLC

  dba H2 Health

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1336769801
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1659489391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 MINTON RD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329049578",
            "telephone_number": "321-984-2933",
            "fax_number": "321-953-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 MINTON RD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "32904",
            "telephone_number": "321-984-2933",
            "fax_number": "321-953-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBANK",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT14435",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ekland, SLP
• Kethia Elie
• Nickline Clervil Emile
• Sarai Escarment, MS
• Elizabeth A Evans
• Katiara M Fallon
• Maged Doss Farid, MD
• Tammy Lee Farrell, LPTA
• Damaris Feliciano
• Julianne Isabella Fernandez

• Physical Therapist in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.