Individual provider Active NPI

Faith Fermin-Hayes, DPT

  • Physical Medicine & Rehabilitation Physician
  • Elk Grove, CA
National Provider Identifier
1861030819
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT296959 Issued in CA
Practice address
6810 Di Lusso Dr Apt 156
Elk Grove, CA 95758-5887
Phone
(408) 726-2737
NPI assigned
Dec 19, 2019
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT296959 CA Primary

Addresses

Primary practice location

6810 Di Lusso Dr Apt 156
Elk Grove, CA 95758-5887

Mailing address

6810 Di Lusso Dr Apt 156
Elk Grove, CA 95758-5887
Phone (408) 726-2737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT296959CAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1861030819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 DI LUSSO DR APT 156",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585887",
            "telephone_number": "408-726-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 DI LUSSO DR APT 156",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585887",
            "telephone_number": "408-726-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMIN-HAYES",
        "first_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT296959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.