Michael I. Fazio, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23961 Issued in FL

Practice address

7844 Ashley Cir
Bradenton, FL 34201-2091

Phone

(941) 993-8494

NPI assigned

Dec 9, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empire State Occupational Therapy PC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1518026756
  NPD (past)
• Encompass Health Rehabilitation Hospital of Florence, Inc.

  • Rehabilitation Hospital
  • Florence, SC
  • NPI 1598738296
  NPD (past)
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1003099490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7844 ASHLEY CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342012091",
            "telephone_number": "941-993-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7844 ASHLEY CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342012091",
            "telephone_number": "941-993-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZIO",
        "first_name": "MICHAEL",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-09",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Farrell, M.D.
• Robert A Fasoli, MD
• Susan Faunce, LMHC
• Elizabeth Faville
• Diane Marjorie Favorite
• Marie Fazzary, MD
• FDHS Anesthesia LLC
• FDHS Anesthesia, LLC
• Jennifer Joy Fedak, P.A.
• Federico a. Frias MD PA

• Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.