Michael John Faris, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

113493 Issued in MO

Practice address

3101 Recreation Dr
Suite 130
Washington, MO 63090-6107

Phone

(636) 239-9979

NPI assigned

Aug 31, 2006

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

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axes Physical Therapy I, LLCGroup PAC ID 9335481688, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.faris.p2@direct.athleticoltd.nextgenshare.com

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.

• Axes Physical Therapy I, LLC

  • Physical Therapy Clinic/Center
  • Washington, MO
  • NPI 1679032700
  Medicare reassignment Care Compare group
• Axes Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • O Fallon, MO
  • NPI 1003280421

  Physical Therapist

  Medicare reassignment NPD
• Axes Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Creve Coeur, MO
  • NPI 1699530931

  Physical Therapist

  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1801907837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 RECREATION DR",
            "address_2": "SUITE 130",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906107",
            "telephone_number": "636-239-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 RECREATION DR",
            "address_2": "SUITE 130",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906107",
            "telephone_number": "636-239-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIS",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "113493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Nathan Ettinger, O.D.
• Everside Health LLC Washington Health Ctr
• Exceptional Equestrians of the Missouri Valley, Inc.
• Eye Care Vision Center II Inc Erkers Kirkwood
• Family Wholistic Wellness
• Thomas M Farrell, M.D.
• Annmarie Faust
• Emily Feddersen
• Feldmann Chiropractic, LLC
• Kristopher Feldmann, D.C.

• Physical Therapist in Washington, MO
• Providers in Washington, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.