Glenn Ernest Fabian

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

312 W J St
Los Banos, CA 93635-4073

Phone

(209) 827-6178

NPI assigned

Feb 3, 2015

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imotion Physical Therapy, IncGroup PAC ID 2163585209, 22 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.96 of 100Reported as group

Quality

85

Improvement activities

40

Cost

73.19

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Imotion Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Fremont, CA
  • NPI 1588842421

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Sport & Rehab Physical Therapy Incorporated

  • Physical Therapy Clinic/Center
  • Los Banos, CA
  • NPI 1558512327
  Medicare reassignment NPD
• Omega Sports Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1770616161

  Physical Therapist

  NPD
• Central Valley Cardiovascular Medical Group, Inc

  • Medical Specialty Clinic/Center
  • Turlock, CA
  • NPI 1962750224
  NPD (past)

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1013307610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 ROCKPORT AVE APT A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W J ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354073",
            "telephone_number": "209-827-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "GLENN ERNEST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianey Esparza Ramirez
• Silvia Esparza
• Iris Esquilin-Marshall
• Leland Roy Estrella Jr.
• Daniel L Eustace, P.A.-C.
• Stephanie Fajardo
• Family Health Medical Center Inc.
• Family Health Medical Center Inc.
• Faizan Farid, DDS
• Komel Feleyeh

• Physical Therapist in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.