Individual provider Active NPI

Julie Fairman, PT, CWT

  • Physical Therapist
  • Indiana, PA
National Provider Identifier
1740264126
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1176 Mansfield Ave
Indiana, PA 15701-4514
Phone
(724) 357-9991
Fax
(724) 357-9993
NPI assigned
Nov 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1176 Mansfield Ave
Indiana, PA 15701-4514

Mailing address

911 Ligonier St
Suite 001
Latrobe, PA 15650-1805
Phone (724) 537-9577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100226000066 PA Practitioner - Physical Therapist in Private Practice 0446395636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Total Therapy, IncGroup PAC ID 1759438856, 17 clinicians

Practice addresses (Care Compare)

2010 Shelly Dr
Indiana, PA 15701-2388
Phone (724) 349-2276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Total Therapy Physical Therapist CurrentSince Jan 1, 2010 Accepting new patients
Indiana Total Therapy Inc Physical Therapist CurrentSince Jan 1, 2010 Accepting new patients
West Penn Physical Therapy Physical Therapist Past Accepting new patients
Optimal Heights Physical Therapy Physical Therapist PastSince Jul 7, 2016 Accepting new patients
Indiana Total Therapy, Inc Physical Therapist Past Accepting new patients

Locations

120 Irmc Dr
Ste 120
Indiana, PA 15701
Phone (724) 357-7068

120 Irmc Dr
Ste 160
Indiana, PA 15701
Phone (724) 357-7068

2010 Shelly Dr
Indiana, PA 15701
Phone (724) 349-2276

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10717/brand/1/csg/1/fhir/r4
  • Direct secure messaging: julie.fairman.1@10717.direct.athenahealth.com
  • Direct secure messaging: julie.fairman.2@10717.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740264126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 LIGONIER ST",
            "address_2": "SUITE 001",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501805",
            "telephone_number": "724-537-9577",
            "fax_number": "724-537-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 MANSFIELD AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157014514",
            "telephone_number": "724-357-9991",
            "fax_number": "724-357-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRMAN",
        "first_name": "JULIE",
        "credential": "PT, CWT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.