Timothy Fahrner, DPT
Physical Therapist in Mount Airy, NC. Individual provider (NPI-1).
NPI number1831784933
StatusActive
Last updated in NPPESMar 2, 2021
Details
- NPI
- 1831784933
- Entity type
- Individual (NPI-1)
- Name
- Timothy Fahrner
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2021
- Certification date
- Mar 2, 2021
- Last updated
- Mar 2, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 | P20088 | NC | Yes |
Practice location
314 S South StMount Airy, NC 27030-4491
Phone 336-786-2033
Mailing address
314 S South StMount Airy, NC 27030-4491
Phone 336-786-2033
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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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