Organization Active NPI

Fairley Physical Therapy, Inc

  • Physical Therapist
  • Claremont, CA
National Provider Identifier
1689097545
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25533 Issued in CA
Legal business name
FAIRLEY PHYSICAL THERAPY, INC
Practice address
224 N Indian Hill Blvd
Claremont, CA 91711-4609
Phone
(909) 621-0447
Fax
(909) 621-2747
NPI assigned
Jan 29, 2014
Last updated
Jan 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey Laurence Fairley, DPTNPI 1285735431
Title
President
Phone
(909) 621-0447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT25533 CA Primary

Addresses

Primary practice location

224 N Indian Hill Blvd
Claremont, CA 91711-4609

Mailing address

224 N Indian Hill Blvd
Claremont, CA 91711-4609
Phone (909) 621-0447

National Provider Directory

National Provider Directory

Locations

224 N Indian Hill Blvd
Claremont, CA 91711
Phone (909) 621-0447

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1689097545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N INDIAN HILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114609",
            "telephone_number": "909-621-0447",
            "fax_number": "909-621-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N INDIAN HILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114609",
            "telephone_number": "909-621-0447",
            "fax_number": "909-621-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLEY PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "FAIRLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LAURENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-621-0447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.