Raychl Fairbanks

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2624 Issued in WY

Practice address

3125 E Grand Ave
Laramie, WY 82070-5137

Phone

(307) 742-3110

NPI assigned

Jun 29, 2026

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Blair Investments Inc

  • Physical Therapy Clinic/Center
  • Cheyenne, WY
  • NPI 1912052242

  Physical Therapist

  NPD
• Pedrick Inc

  • Physical Therapist
  • Laramie, WY
  • NPI 1427123199
  NPD (past)

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1912823394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W CLYDESDALE DR",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019102",
            "telephone_number": "307-690-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 E GRAND AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705137",
            "telephone_number": "307-742-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "RAYCHL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-2624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Express Pharmacy
• Ethan Faber
• Matthew A Faesser
• Anna Fahy
• Falefatu Faiivae
• Family Care Clinic, LLC
• Family Focus
• Family Focus LLC
• Family Physicians of Laramie, LLC
• Amanda Fankell

• Physical Therapist in Laramie, WY
• Providers in Laramie, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.