NICHOLE MARIE FAIRBANKS
NPI 1760889778
Physical Therapist in Duluth, MN

NPI Status: Active since November 20, 2014

Contact Information

2501 RICE LAKE RD
DULUTH, MN
ZIP 55811
Phone: (218) 625-6400
Fax: (218) 625-6452

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  • Individual
  • Female
  • Physical Therapist

About NICHOLE FAIRBANKS

This page provides the complete NPI Profile along with additional information for Nichole Fairbanks, a provider established in Duluth, Minnesota with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1760889778 assigned on November 2014. The practitioner's primary taxonomy code is 225100000X with license number 9006 (MN). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1760889778
Provider Name
NICHOLE MARIE FAIRBANKS
Gender
Female
Entity Type
Individual
Location Address
2501 RICE LAKE RD DULUTH, MN 55811
Location Phone
(218) 625-6400
Location Fax
(218) 625-6452
Mailing Address
804 HAMILTON DR DULUTH, MN 55811
Is Sole Proprietor?
No
Enumeration Date
11-20-2014
Last Update Date
11-20-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
9006
License State
MN
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

12904 (WI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760889778
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2712016818714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 6 + 8 + 1 + 8 + 7 + 1 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1760889778 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689849374 JILL ELIZABETH MUECKE
Individual
Speech-Language Pathologist2501 RICE LAKE RD REHAB DEPARTMENT
DULUTH, MN 55811
(218) 625-6443
1386819712MRS. MISTY JUNE BASTIAN OTR/L
Individual
Occupational Therapist2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6442
1326206657 AARON JON HAWLEY P.T.
Individual
Physical Therapist2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6440
1215275235CHRIS JENSEN HEALTH & REHAB
Organization
Skilled Nursing Facility2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6440
1497093272MRS. SHERYL LYN NILSEN COTA
Individual
Skilled Nursing Facility2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6444
1205174968CHRIS JENSEN
Organization
Skilled Nursing Facility2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6444
1912245630 JENNIFER ANN POWERS PTA
Individual
Physical Therapy Assistant2501 RICE LAKE RD
DULUTH, MN 55811
(218) 310-1537
1871832535MRS. MORIAH M MATTEVI M.A., CCC-SLP
Individual
Speech-Language Pathologist2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6400
1104165711GENESIS REHAB SERVICES
Organization
Skilled Nursing Facility2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6400
1659715464MRS. MONA MARIE LEE PTA
Individual
Physical Therapist (Geriatrics)2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6400
1548692759 ANNA MARIE KARRAKER COTA
Individual
Occupational Therapy Assistant2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6400
1679996540 CHARLENE SCHLENVOGT PTA
Individual
Physical Therapy Assistant2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6400
1780098301 ANNA COCHRAN COTA
Individual
Occupational Therapy Assistant2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6400
1417361890 AMANDA PIERRE
Individual
Physical Therapy Assistant2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6443
1902271455 SAMUEL REINDAL PTA
Individual
Physical Therapy Assistant2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6400
1063067999 ASHLEY WEBER
Individual
Speech-Language Pathologist2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6400
1649811902 JACK KING
Individual
Speech-Language Pathologist2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6400
1245387372CHRIS JENSEN LLC
Organization
Skilled Nursing Facility2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6411
1174148308 BRYAN DOUGLAS JOHNSON
Individual
Physical Therapist2501 RICE LAKE RD
DULUTH, MN 55811
(864) 513-6864
1649860297 KATIE JO THAYER OTR/L
Individual
Occupational Therapist2501 RICE LAKE RD
DULUTH, MN 55811
(218) 625-6400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760889778, enumerated in the NPI registry as an "individual" on November 20, 2014

The provider is located at 2501 Rice Lake Rd Duluth, Mn 55811 and the phone number is (218) 625-6400

The provider's speciality is Physical Therapist with taxonomy code 225100000X

This NPI record was last updated on November 20, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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