John Paul Marcel Fairhart, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60482042 Issued in WA

Practice address

1118 View Ave
Centralia, WA 98531-1870

Phone

(360) 736-5273

Fax

(360) 736-5053

NPI assigned

Sep 15, 2014

Last updated

Nov 21, 2014By 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

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": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1801297379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 AVERY LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035603",
            "telephone_number": "360-736-5273",
            "fax_number": "360-736-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 VIEW AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311870",
            "telephone_number": "360-736-5273",
            "fax_number": "360-736-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRHART",
        "first_name": "JOHN PAUL",
        "middle_name": "MARCEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60482042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn S Estrada, MD
• Evergreen Washington Healthcare Centralia, L.L.C. (Evergreen Centralia Health and Rehabilitation Center)
• F. Andrew Lasley, IV, DMD, PLLC (Centralia Orthodontics)
• Kara Fabiani, LPN
• Dan Fagerness
• Zahra Azita Fallahi, RN
• Rohn Falter, DDS
• Family Chiropractic Inc
• Fasa Family Wellness PLLC
• Lisa Marie Faust, PT

• Physical Therapist in Centralia, WA
• Providers in Centralia, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.