JEFFREY LAURENCE FAIRLEY (NPI# 1285735431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285735431 |
| Entity Type | Individual |
| Full Name | JEFFREY LAURENCE FAIRLEY |
| Credential | PT, DPT, OCS |
| Practice Address |
224 N Indian Hill Blvd Claremont CA 91711-4609 |
| Mailing Address |
4232 Lynd Ave Arcadia CA 91006-5834 |
| Practice Telephone | 9096210477 |
| Mailing Telephone | 6268215434 |
| Mailing Fax Number | 6268215434 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
PT25533 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT25533 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
224 N INDIAN HILL BLVD |
| City | CLAREMONT |
| State | CA |
| Zip Code | 91711-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548361793 | Rebecca Michelle Fairley | Physical Therapist | 224 N Indian Hill Blvd, Claremont, CA 91711-4609 | 2006-09-26 |
| 1649712530 | Karin B Andersson | Physical Therapist | 224 N Indian Hill Blvd, Claremont, CA 91711-4609 | 2016-11-09 |
| 1003272238 | Cori Healer | Physical Therapist | 224 N Indian Hill Blvd, Claremont, CA 91711-4609 | 2016-01-04 |
| 1316351570 | Jocelyn Suzanne Porzel | Physical Therapist | 224 N Indian Hill Blvd, Claremont, CA 91711-4609 | 2014-06-16 |
| 1689097545 | Fairley Physical Therapy, Inc | Physical Therapist | 224 N Indian Hill Blvd, Claremont, CA 91711-4609 | 2014-01-29 |
| 1063833770 | Erin Marie Casselle | Physical Therapist | 224 N Indian Hill Blvd, Claremont, CA 91711-4609 | 2013-12-23 |
| 1457630188 | Amanda Marie Morgan | Physical Therapist | 224 N Indian Hill Blvd, Claremont, CA 91711-4609 | 2011-08-11 |
| 1740431139 | Stephanie T. Comstock | Occupational Therapist | 224 N Indian Hill Blvd, Claremont, CA 91711-4609 | 2008-10-03 |
| 1144437757 | Mahjabeen Aftab | Occupational Therapist | 224 N Indian Hill Blvd, Claremont, CA 91711-4609 | 2007-05-16 |
| 1235224593 | Body Center Physical Therapy, Inc | Physical Therapist | 224 N Indian Hill Blvd, Claremont, CA 91711-4609 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919132 | Suzanne Kathryn Wen | Physical Therapist | 224 North Indian Hill Bvld, Claremont, CA 91711 | 2019-12-16 |
| 1336790690 | Angelita M Sherzada | Social Worker | 250 W. First Street, 242, Claremont, CA 91711 | 2019-09-26 |
| 1629560602 | Patricia L Sellers | Marriage & Family Therapist | 220 S Indian Hill Boulevard, Suite E, Claremont, CA 91711 | 2018-06-05 |
| 1477078418 | Geiselia Thomas | Chore Provider | 519 Martin Way, Claremont, CA 91711 | 2017-08-10 |
| 1750804464 | Vasudavan Govindasamy | Speech-Language Pathologist | 1490 North Claremont Blvd Suite 101, Claremont, CA 91711 | 2017-07-25 |
| 1669850103 | Drpaulolivera | Dentist | 450wsanjose, Claremont, CA 91711 | 2015-05-18 |
| 1003204504 | Alexandra Jordan Bandy | Nurse Practitioner | 530 W. Bonita Ave, Claremont, CA 91711 | 2015-01-06 |
| 1437571379 | Susan Clayton Zylstra | Speech-Language Pathologist | 842 Knox Place, Claremont, CA 91711 | 2014-01-13 |
| 1255671053 | Misty Anne Rogers | Acupuncturist | 689 W. Foothill Blvd., Suite D, Claremont, CA 91711 | 2013-02-15 |
| 1629364161 | Lu Tian | Acupuncturist | 250 W. First Street #112, Claremont, CA 91711 | 2011-06-23 |
| Find all providers in zip 91711 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443837 | Coastal Physical Therapy and Sports Rehabilitation | Physical Therapist | 258 Lombard St, Thousand Oaks, CA 91360-5806 | 2020-06-29 |
| 1992335509 | Ashton Pickle | Physical Therapist | 150 Loma Ln, San Clemente, CA 92672-4721 | 2020-01-23 |
| 1083262976 | Lana Aziz-oglii | Physical Therapist | 2791 Brimhall Dr, Los Alamitos, CA 90720-4905 | 2019-09-03 |
| 1174080931 | Mmt Physical Therapy Inc | Physical Therapist | 3040 Larkin St, San Francisco, CA 94109-1116 | 2019-02-27 |
| 1649737982 | La Orthopedic and Pediatric Physical Therapy | Physical Therapist | 16055 Ventura Blvd Ste 825, Encino, CA 91436-2617 | 2019-02-22 |
| 1225505894 | Haley Tarryn Hawes | Physical Therapist | 12401 Wilshire Blvd Ste 105, Los Angeles, CA 90025-1015 | 2018-10-31 |
| 1629561667 | Jason Chan Hyung Park | Physical Therapist | 2440 W Carson St, Torrance, CA 90501-3146 | 2018-06-13 |
| 1447757125 | Anthony G Tam | Physical Therapist | 5030 Bonita Rd Ste B, Bonita, CA 91902-1700 | 2018-04-10 |
| 1730606468 | Joseph Anthony Santistevan | Physical Therapist | 1975 Maricopa Hwy Spc 19, Ojai, CA 93023-2365 | 2017-08-24 |
| 1124541016 | Max Biessmann | Physical Therapist | 28202 Cabot Rd Ste 150, Laguna Niguel, CA 92677-1250 | 2017-07-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.