Byron W Fair, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4057 Issued in MS

Practice address

2475 Lakeland Dr Ste a
Jackson, MS 39232-9505

Phone

(601) 636-6019

Fax

(601) 661-8457

NPI assigned

Dec 14, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Premier Rehab

  • Clinic/Center
  • Tougaloo, MS
  • NPI 1790921724
  NPD (past)
• Visions Physical Therapy

  • Physical Therapist
  • Canton, MS
  • NPI 1447313036
  NPD (past)
• Visions Physical Therapy

  • Physical Therapist
  • Flowood, MS
  • NPI 1841397635
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679635841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 HIGHLAND COVE PL",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571523",
            "telephone_number": "601-636-6019",
            "fax_number": "601-661-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 LAKELAND DR STE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329505",
            "telephone_number": "601-636-6019",
            "fax_number": "601-661-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "BYRON",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Facey, M.D.
• Edward Alexander Facundus
• Olivia Patch Facundus
• Abigail Kathryn Fagan
• Angela Fagan
• Logan D Fair, MD
• Joseph Matthew Fairley Sr.
• Faith & Hope Independent Living Health Services of Ms Inc.
• Faith and Hope Adult Daycare
• Faith Nemt LLC

• Physical Therapist in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.