MINI MIRACLES PEDIATRIC THERAPY
NPI 1831774637
Early Intervention Provider Agency in Johnson City, TN
About Mini Miracles Pediatric Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINI MIRACLES PEDIATRIC THERAPY (NPI 1831774637) is a healthcare organization registered as an early intervention provider agency in Johnson City, Tennessee and active in the NPI registry since March 2021. The organization lists Edwin Brown, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mini Miracles Pediatric Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Mini Miracles Pediatric Therapy, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fairview Therapy's NPI number?
The NPI number for Fairview Therapy is 1831774637. It was assigned to this organization in the NPPES registry on March 12, 2021. The provider is doing business as Mini Miracles Pediatric Therapy.
Where is Fairview Therapy located?
Fairview Therapy is located at 2214 E Fairview Ave, Johnson City, TN 37601. The listed phone number is (423) 928-6464.
What is Fairview Therapy's specialty?
The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.
Is Fairview Therapy enrolled in Medicare?
Yes. Fairview Therapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fairview Therapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Fairview Therapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fairview Therapy was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mini Miracles Pediatric Therapy · NPI 1831774637
Early Intervention Provider Agency organization in Johnson City, Tennessee. Organization record, active in the CMS NPPES registry since March 12, 2021.
## Identity
- **NPI:** 1831774637 (Entity type: Organization)
- **Enumerated:** March 12, 2021
- **Primary specialty:** Early Intervention Provider Agency · taxonomy 252Y00000X
- **Legal business name:** Fairview Therapy
- **Organization subpart:** No
- **Authorized official:** Edwin Brown, OWNER
## Practice location
- **Address:** 2214 E FAIRVIEW AVE, Johnson City, TN 37601-2860
- **Phone:** (423) 928-6464
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1831774637) · Data from the CMS NPPES public registry.