NPI Code Detail JSON Logo

1083773832 NPI number — FAIRVIEW THERAPY, PLLC

NPI Number: 1083773832
Health Care Provider/Practitioner: FAIRVIEW THERAPY, PLLC

Information about “1083773832” NPI (FAIRVIEW THERAPY, PLLC) exists in 1083773832 in HTML format HTML  |  1083773832 in plain Text format TXT  |  1083773832 in PDF (Portable Document Format) PDF  |  1083773832 in an XML format XML  formats.

NPI Number : 1083773832 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083773832",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FAIRVIEW THERAPY, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2406 FRINGE TREE PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AMARILLO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79124-4943",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "806-341-7477",
    "MailingAddressFaxNumber": "806-353-2250",
    "FirstLinePracticeLocationAddress": "2406 FRINGE TREE PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AMARILLO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79124-4943",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-341-7477",
    "PracticeLocationAddressFaxNumber": "806-353-2250",
    "EnumerationDate": "12/07/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCWHORTER",
    "AuthorizedOfficialFirstName": "JOHN",
    "AuthorizedOfficialMiddleName": "KELLY",
    "AuthorizedOfficialTitle": "CO-OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OTR",
    "AuthorizedOfficialTelephoneNumber": "806-341-7477",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "110897",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "1141224",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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