MEDICARE: KAYLEE FAYE FAIRBANKS PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	1364449	TX
2	225100000X	Physical Therapist	136449	TX

General Provider Information

NPI Number	:	1689392631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE FAYE FAIRBANKS PT, DPT

Provider Business Mailing Address
First Line	:	4009 BELLAIRE BLVD STE M
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1168
Country	:	US
Telephone Number	:	281-208-9200
Fax Number	:	281-208-9210

Provider Business Practice Location Address
First Line	:	5425 HIGHWAY 6 STE D900
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4384
Country	:	US
Telephone Number	:	281-208-9200
Fax Number	:	281-208-9210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2022
Last Update Date	:	08/14/2025

Similar Medicare Providers

1134273626 — ARTHUR G MAZUCA P.T.
Practice Location Address:

5425 HIGHWAY 6 STE D900
MISSOURI CITY, TX
77459-4384

Practice Phone: 281-208-9200
Practice Fax: 281-208-9210

1477831774 — MRS. LORA JEAN WALKER P.T.
Practice Location Address:

5425 HIGHWAY 6 STE D900
MISSOURI CITY, TX
77459-4384

Practice Phone: 281-208-9200
Practice Fax:

1750751376 — ANDREW HEIDEBRECHT DPT
Practice Location Address:

5425 HIGHWAY 6 STE D900
MISSOURI CITY, TX
77459-4384

Practice Phone: 281-208-9200
Practice Fax: 281-208-9210

1164400941 — MS. LISA PATRICE MCLOUGHLIN ARNP
Practice Location Address:

2812 WOODMERE DR
PANAMA CITY, FL
32405-4384

Practice Phone: 401-575-9848
Practice Fax:

1740229178 — SOUTHERNCARE, INC.
Practice Location Address:

590 BOARDWALK BLVD , SUITE BO-590
BOSSIER CITY, LA
71111-4384

Practice Phone: 318-227-9160
Practice Fax: 318-227-9781

1538381116 — MRS. SUSAN MICHELE TRUJILLO REGISTERED MIDWIFE
Practice Location Address:

1607 SHERMAN AVE
CANON CITY, CO
81212-4384

Practice Phone: 719-276-6856
Practice Fax:

Directions to “ KAYLEE FAYE FAIRBANKS PT, DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.