Fenix Medical LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FENIX MEDICAL LLC

Practice address

18477 S 186TH Way Ste 102
Queen Creek, AZ 85142-9620

Phone

(480) 788-0399

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Austin Fair, PTNPI 1760894273

Title

Owner

Phone

(480) 788-0399

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Austin Michael Fair, PT

  • Physical Therapist
  • Chandler, AZ
  • NPI 1760894273
  NPD Authorized official

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1972249019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18477 S 186TH WAY STE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429620",
            "telephone_number": "480-788-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18477 S 186TH WAY STE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429620",
            "telephone_number": "480-788-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-788-0399",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@fenixptp.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "18477 S 186th Way Ste 102",
            "city": "Queen Creek",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851429620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Fahmy, OD
• Remon Fam
• Amy B Faust, MC/MFCT, LPC
• Janice Lynne Fawcett, ANP
• Feathers of Flight L.L.C.
• Fenix Mental Health
• Sierra Ferreira, DMD
• Crescentia Ferrell
• Miron Neil Ferrer
• Jhayne Festa, RBT

• Primary Care Clinic/Center in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.