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

Mrs. Jennifer Marie Fabre Fairley, PTPHDCSCS

Individual provider Physical Therapist · NPI 1700881133

Mrs. Jennifer Marie Fabre Fairley, PTPHDCSCS is a Physical Therapist in Private Practice in Mandeville, Louisiana. Qualified in 2001, 25 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and New Mexico.

Years since qualifying
25
Licensed in
LA, NM
In the registry since
2005
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1901 Highway 190 Ste 26
Mandeville, LA 70448-3495
Phone: (985) 778-2282
Fax: (866) 767-8329
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 594 Asbury Dr D, Mandeville, LA 70471-4101 — (985) 778-2282

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 04964 (LA)
Physical Therapist Taxonomy 225100000X · Licence 4135 (NM)

Record details

NPI number1700881133
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTPHDCSCS
Sole proprietorNo
NPI enumeratedJune 13, 2005
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mandeville