Active NPI
Laura Fahey, PT, DPT
- Physical Therapist
- El Monte, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34688
- Practice address
- 3111 Santa Anita Ave
El Monte, CA 91733-1357 - Phone
- (626) 443-0218
- NPI assigned
- May 10, 2006
- Last updated
- Jun 10, 2019
- 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 | 34688 | CA | Primary |
Addresses
Primary practice location
3111 Santa Anita Ave
El Monte, CA 91733-1357
Mailing address
8410 Derfer Dr
Rancho Cucamonga, CA 91701-5462
Phone (315) 345-8741
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34688 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center for Bone and Joint Disorders | Current | Accepting new patients | |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| PTP, Inc | Physical Therapist | Past | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167
68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630
8045 Archibald Ave
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 920-0876
400 N Mountain Ave
Ste 310
Upland, CA 91786
Phone (909) 920-0876
Organizations & group practices 3
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.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Specialist
- Upland, CA
- NPI 1245336403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1669421087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8410 DERFER DR",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917015462",
"telephone_number": "315-345-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 SANTA ANITA AVE",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917331357",
"telephone_number": "626-443-0218"
}
],
"practiceLocations": [
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "866-839-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAHEY",
"first_name": "LAURA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.