Courtney Facey, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1401 Bryant Williams Dr
Klamath Falls, OR 97601-7151

Phone

(541) 882-6691

NPI assigned

Dec 23, 2020

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1861089864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BRYANT WILLIAMS DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976017151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BRYANT WILLIAMS DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976017151",
            "telephone_number": "541-882-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACEY",
        "first_name": "COURTNEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Reuben Estabrook II, RPH
• Erika Nicole Evans, R.D.H.
• Stephani Lyn Evans, MS
• Robyn Ewing, FNP
• Extendicare Homes, Inc.
• Susan Millie Fagan, D.D.S.
• Marrissa Lynn Faill
• Larissa Ann Fain
• Benjamin Holland Fairbanks, MD
• Heather T.S. Fairchild, MSW, CSWA, QMHP

• Physical Therapy Assistant in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.