Individual provider Active NPI

Jessica Rachel Fare, PT, DPT

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1811618267
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5601 Okeechobee Blvd Ste 8
West Palm Beach, FL 33417-4489
Phone
(561) 432-0111
Fax
(561) 432-1075
NPI assigned
Sep 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5601 Okeechobee Blvd Ste 8
West Palm Beach, FL 33417-4489

Mailing address

5840 Corporate Way Ste 101
West Palm Beach, FL 33407-2040
Phone (561) 432-0111

Other practice location 1

450 William S Canning Blvd Unit 3
Fall River, MA 02721-5603
Phone (774) 520-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230207000134 NY Practitioner - Physical Therapist in Private Practice 5395117014 Reassigns benefits to 3 organizations
I20230801002697 MA Practitioner - Physical Therapist in Private Practice 5395117014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascend Medicine PLLCGroup PAC ID 6305372467, 4 clinicians
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

1169 Wantagh Ave
Wantagh, NY 11793-2136
Phone (516) 785-4800

360 Merrick Rd
Suite 310
Lynbrook, NY 11563-2526
Phone (516) 724-8444

450 William S Canning Blvd
Unit 3
Fall River, MA 02721-5603
Phone (774) 520-0033

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049275NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Medicine PLLC CurrentSince Feb 7, 2026 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Jan 29, 2024 Accepting new patients
S2 Physical Therapy P.C. Physical Therapist PastSince Sep 1, 2022 Accepting new patients

Locations

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

360 Merrick Rd
Ste 310
Lynbrook, NY 11563
Phone (516) 724-8444

3135 Long BCH Rd
Oceanside, NY 11572

3135 Long BCH Rd
Oceanside, NY 11572
Phone (516) 613-2501

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

745 Route 25A
Rocky Point, NY 11778
Phone (516) 457-6387

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1811618267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 CORPORATE WAY STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072040",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 OKEECHOBEE BLVD STE 8",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174489",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 William S Canning Blvd Unit 3",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027215603",
            "country_code": "US",
            "telephone_number": "774-520-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARE",
        "first_name": "JESSICA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.