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 |
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| 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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