Jeffrey Laurence Fairley, PT, DPT, OCS | |
224 N Indian Hill Blvd, Claremont, CA 91711-4609 | |
(909) 621-0477 | |
Not Available |
Full Name | Jeffrey Laurence Fairley |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 224 N Indian Hill Blvd, Claremont, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285735431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | PT25533 (California) | Primary |
2251X0800X | Physical Therapist - Orthopedic | PT25533 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Body Center Physical Therapy, Inc | 4880799873 | 5 |
Provider Name | Body Center Physical Therapy, Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1235224593 PECOS PAC ID: 4880799873 Enrollment ID: O20070419000638 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Laurence Fairley, PT, DPT, OCS 4232 Lynd Ave, Arcadia, CA 91006-5834 Ph: (626) 821-5434 | Jeffrey Laurence Fairley, PT, DPT, OCS 224 N Indian Hill Blvd, Claremont, CA 91711-4609 Ph: (909) 621-0477 |
Cori Healer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 224 N Indian Hill Blvd, Claremont, CA 91711 Phone: 909-621-0447 | |
Sportspros, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 W Foothill Blvd, Claremont, CA 91711 Phone: 909-447-5724 Fax: 909-447-5734 | |
Erin Marie Casselle, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 N Indian Hill Blvd, Claremont, CA 91711 Phone: 909-621-0447 Fax: 909-621-2747 | |
Matthew Lynn-hwan Oh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1042 Trevecca Pl, Claremont, CA 91711 Phone: 909-908-3729 | |
Ms. Treca Diane Tipton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 W Foothill Blvd, Claremont, CA 91711 Phone: 909-447-5724 Fax: 909-447-5734 | |
Body Center Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 224 N Indian Hill Blvd, Claremont, CA 91711 Phone: 909-621-0447 Fax: 626-821-5434 |