Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Fairrow, PTA

Individual provider Physical Therapy Assistant · NPI 1760727929

Derek Fairrow, PTA is a Physical Therapy Assistant in Madisonville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2012.

Licensed in
KY
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1500 Pride Ave
Madisonville, KY 42431-9157
Phone: (270) 821-1813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A02649 (KY)

Record details

NPI number1760727929
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 29, 2012
Last updated in NPPESNovember 29, 2012
Mailing address1500 Pride Ave, Madisonville, KY 42431-9157

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