CMS-1500 Box 24J / 33a • NPI
1780040873
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
8725 BOLLMAN PL STE 4, SAVAGE, MD, 20763-9751
✓ 9-Digit EDI 837 ZIP+4 (20763-9751)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1780040873 (JEFFREY FAIRMAN, PT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1780040873 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JEFFREY FAIRMAN, PT |
| Plain-English Specialty | Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: 225100000X (Physical Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 8725 BOLLMAN PL STE 4, SAVAGE, MD, 20763-9751 |
| Practice Telephone / Fax | Tel: (240) 577-1367 |
| Administrative Mailing Address | 10518 WILLIAM TELL LN, COLUMBIA, MD, 21044-2425 |
| Enumeration & Last Sync | Enumerated: 2016-01-06 | CMS Record Updated: 2022-02-24 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225100000X)
What Does Taxonomy Code 225100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JEFFREY FAIRMAN, PT)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208100000X — Physical Medicine & RehabilitationPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation | State: MD | License: 25812 | Primary: Secondary |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: MD | License: 25812 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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