Healthcare Provider Details

I. General information

NPI: 1275306391
Provider Name (Legal Business Name): FMK HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 06/17/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77564 COUNTRY CLUB DR STE 107
PALM DESERT CA
92211-0484
US

IV. Provider business mailing address

1277 COUNTRY CLUB DR
AKRON OH
44313-6717
US

V. Phone/Fax

Practice location:
  • Phone: 832-683-5159
  • Fax: 877-285-0577
Mailing address:
  • Phone: 832-683-5159
  • Fax: 877-285-0477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: JANICE COMPTON
Title or Position: CONTRACTING MGR
Credential: CPC
Phone: 832-683-5159