Bret Snyder Fairbanks, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24608 Issued in CA

Practice address

2 Peters Canyon Rd Ste 100
Irvine, CA 92606-1798

Phone

(949) 679-3988

Fax

(949) 679-7665

NPI assigned

Jul 25, 2006

Last updated

Apr 26, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Marymount University, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairbanks and Power Physical Therapy CorpGroup PAC ID 6406843481, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairbanks & Power Physical Therapy Corp.

  dba PacificPro Physical Therapy & Sports Medicine

  • Physical Therapist
  • Irvine, CA
  • NPI 1912953936
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1710900717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PETERS CANYON RD STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061798",
            "telephone_number": "949-679-3988",
            "fax_number": "949-679-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PETERS CANYON RD STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061798",
            "telephone_number": "949-679-3988",
            "fax_number": "949-679-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "BRET",
        "middle_name": "SNYDER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "24608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT 24608",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karim Fahmy, DO
• Kirolos Fahmy, OD
• Jannine Fahys, MA, LCSW
• Itzhak Failaev
• Fairbanks & Power Physical Therapy Corp. (PacificPro Physical Therapy & Sports Medicine)
• Pasha Faith
• Sara Fakhraei
• Neeloufar Fakourfar, PHARM.D.
• Amy Falk
• Michelle N. Fallah, PSYD

• Physical Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.