Jeffrey Fairman, PT – Physical Therapist

Key facts

NPI: 1780040873
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 25812 (MD)
Practice address: 8725 Bollman PL Ste 4
Savage, MD 20763-9751
Phone: (240) 577-1367
NPI assigned: Jan 6, 2016
Sex: Male
Sole proprietor: No

Organizations & group practices 2

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.

Without Limits Running, LLC Physical Therapy Clinic/Center · Savage, MD · NPI 1104550466

Medicare reassignment Care Compare group NPD MD · PHYSICAL THERAPIST
Virginia Home Therapy LLC Physical Therapy Clinic/Center · Manassas, VA · NPI 1942802772

NPD (past) PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2008
Medicare assignment: May accept Medicare assignment
Group practices: Without Limits Running, LLC (2 clinicians)

Practice addresses (Care Compare)

10750 Guilford Rd
Suite B
Jessup, MD 20794-9385
Phone (301) 453-2428

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20171229001124	MD	Practitioner - Physical Therapist in Private Practice	1759649494	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Without Limits Running, LLC	Physical Therapist	Current since Apr 25, 2024	Accepting new patients
Virginia Home Therapy LLC	Physical Therapist	Past since Nov 22, 2020	Accepting new patients

Locations

10750 Guilford Rd
Ste B
Jessup, MD 20794
Phone (301) 453-2428

8725 Bollman Pl
Ste 4
Savage, MD 20763
Phone (240) 577-1367

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Medicine & Rehabilitation Physician	208100000X	25812	MD
Physical Therapist	225100000X	25812	MD	Yes

Addresses

Primary practice location

8725 Bollman PL Ste 4
Savage, MD 20763-9751

Mailing address

10518 William Tell LN
Columbia, MD 21044-2425
Phone (240) 577-1367

Other providers in Savage, MD

All providers in Savage, MD · Physical Therapist in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.