Individual provider Active NPI

Deshawn Jamal Fairbairn, DPT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1952084550
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16933 Issued in TN
Practice address
9305 S Northshore Dr
Knoxville, TN 37922-6548
Phone
(865) 769-5278
NPI assigned
Aug 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11985 SC
Physical Therapist 225100000X 16933 TN Primary

Addresses

Primary practice location

9305 S Northshore Dr
Knoxville, TN 37922-6548

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-8995

Other practice location 1

4237 River Hills Dr Ste 120
Little River, SC 29566-6444
Phone (843) 249-5616

Other names 1

  • Dr. Deshawn Jamal Fairbairn Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009002743 SC Practitioner - Physical Therapist in Private Practice 3971958133 Reassigns benefits to 2 organizations

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
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians

Practice addresses (Care Compare)

1941 Savage Rd
Suite 300a
Charleston, SC 29407-4790
Phone (843) 402-1495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11985SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Feb 27, 2024 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Aug 7, 2023 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Aug 7, 2023 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Feb 27, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

33205 Collection Ctr Dr
Chicago, IL 60693

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

325 Folly Rd
Ste 107
Charleston, SC 29412
Phone (843) 762-0147

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

4237 River Hills Dr
Ste 120
Little River, SC 29566
Phone (843) 249-5616

4237 River Hills Dr
Ste 110
Little River, SC 29566
Phone (843) 467-8032

180 Wingo Way
Ste 303
Mt Pleasant, SC 29464
Phone (843) 972-0940

8161 Rourk St
Myrtle Beach, SC 29572
Phone (843) 449-3685

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

Organizations & group practices 4

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1952084550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 S NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226548",
            "telephone_number": "865-769-5278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4237 River Hills Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "295666444",
            "country_code": "US",
            "telephone_number": "843-249-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRBAIRN",
        "first_name": "DESHAWN",
        "middle_name": "JAMAL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11985",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESHAWN",
            "last_name": "FAIRBAIRN",
            "middle_name": "JAMAL",
            "prefix": "DR.",
            "credential": "PT,DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.