Jennifer Marie Fabre Fairley, P.T. PH.D. CSCS
NPI 1700881133ActiveIndividual· Physical Therapist· Mandeville, LA
Physical Therapist (P.T. PH.D. CSCS) in Mandeville, Louisiana, licensed in LA and NM, with an NPI issued in June 2005. Medicare paid $43,921 for services to 31 patients in 2024.
Overview
| NPI | 1700881133 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. PH.D. CSCS |
| Sole proprietor | No |
| NPI issued | Jun 13, 2005 |
| Last updated in NPPES | Sep 14, 2022 |
| Certified by provider | Sep 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 04964 | LA |
| Physical Therapist | 225100000X | 4135 | NM |
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 (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 2,439 across 8 procedure codes |
| Paid by Medicare | $43,921 |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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All 45 physical therapists in Mandeville · All physical therapists in Louisiana