Keith W Fandry, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

9252PT Issued in AZ

Practice address

8763 E Bell Rd Ste 102
Suite 102
Scottsdale, AZ 85260-1318

Phone

(480) 513-4801

NPI assigned

Dec 30, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1740584002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 W NEW DAWN DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485306",
            "telephone_number": "312-504-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8763 E BELL RD STE 102",
            "address_2": "SUITE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601318",
            "telephone_number": "480-513-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANDRY",
        "first_name": "KEITH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-30",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "5823",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "9252PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Mental Health Associates, LTD.
• Family Paths
• Family Practice Medicine PLLC
• Family Practice of Scottsdale (Family Medicine of Scottsdale)
• Family Psychiatry of Arizona PLLC
• Farshad Fani Marvasti, M.D.
• Sean Fanning, RBT
• Emily Fanno
• Steve Fanto, MD
• Rachid Daniel Faqir, DC

• Orthopedic Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.