Lacey R. Fairbrother, PT, DPT
NPI 1538442769ActiveIndividual· Physical Therapist· Choctaw, OK
Physical Therapist (PT, DPT) with Athletico Ltd and 1 other group, practicing in Choctaw, Oklahoma. Medicare paid $56,194 for services to 65 patients in 2024.
Overview
| NPI | 1538442769 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Sep 23, 2011 |
| Last updated in NPPES | Jul 6, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 4499 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 2,879 across 12 procedure codes |
| Paid by Medicare | $56,194 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Athletico LtdOttawa, IL · 2,200 clinicians
- Empowerme Rehabilitation Oklahoma LLCEdmond, OK · 18 clinicians
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