Austin Michael Fair, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10935PT Issued in AZ

Practice address

950 E Riggs Rd Ste 1
Chandler, AZ 85249-5403

Phone

(480) 802-8730

Fax

(480) 802-8739

NPI assigned

Jun 2, 2014

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

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 and National Provider Directory roles.

• Fenix Medical LLC

  • Primary Care Clinic/Center
  • Queen Creek, AZ
  • NPI 1972249019
  NPD Authorized official

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1760894273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E RIGGS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495403",
            "telephone_number": "480-802-8730",
            "fax_number": "480-802-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E RIGGS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495403",
            "telephone_number": "480-802-8730",
            "fax_number": "480-802-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "AUSTIN",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10935PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faca Vascular
• Facasurgery LLC
• Katherine Conley Factor, PT
• Jennifer Noderama Facurib, APRN FNP
• Salina Faidhalla, MD
• Kassandra Ann Fair, DO
• Fairview Produce Pharmacy LLC
• Brenna Fairweather
• Bree Fais, PHARMD
• Faithfulsteps LLC

• Physical Therapist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.