Michael Fairchild, PT, DPT
Physical Therapist in Seattle, WA. Individual provider (NPI-1).
NPI number1548094568
StatusActive
Last updated in NPPESAug 30, 2024
Details
- NPI
- 1548094568
- Entity type
- Individual (NPI-1)
- Name
- Michael Fairchild
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2024
- Certification date
- Aug 30, 2024
- Last updated
- Aug 30, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT61590879 | WA | Yes |
Practice location
5000 30th Ave NeSeattle, WA 98105-3156
Phone 206-466-1918 · Fax 206-588-2794
Mailing address
5000 30th Ave NeSeattle, WA 98105-3156
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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