Jessica Fairbairn, PT is a 
Physical Therapist based in San Tan Vly, Arizona. Jessica Fairbairn is licensed to practice in Arizona (license number LPT-30100) and her current practice location is 
1745 W Hunt Hwy # B103, San Tan Vly, Arizona. She can be reached at her office (for appointments etc.) via phone at 
(480) 568-4580.
NPI number for Jessica Fairbairn is 1083190581 and her current mailing address is 4259 E Oakland St, Gilbert, Arizona. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083190581.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Jessica Fairbairn | 
|---|
| Gender | Female | 
|---|
| Speciality | Physical Therapist | 
|---|
| Location | 1745 W Hunt Hwy # B103, San Tan Vly, Arizona | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1083190581
 - Provider Enumeration Date: 07/17/2018
 - Last Update Date: 07/17/2018
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Jessica Fairbairn such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1083190581 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 225100000X | Physical Therapist  | LPT-30100 (Arizona) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Fairbairn is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Jessica Fairbairn, PT 4259 E Oakland St, Gilbert, AZ 85295-6120 Ph: (815) 690-7913 | Jessica Fairbairn, PT 1745 W Hunt Hwy # B103, San Tan Vly, AZ 85143-5215 Ph: (480) 568-4580 | 
		
		 
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