Gwen S. Fassbender, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH416 Issued in AL

Practice address

67 E Midtown Park
Mobile, AL 36606-4141

Phone

(251) 476-1279

Fax

(251) 476-2882

NPI assigned

Dec 11, 2006

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104986231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 BENNINGTON DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366952559",
            "telephone_number": "251-634-9658",
            "fax_number": "251-476-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E MIDTOWN PARK",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064141",
            "telephone_number": "251-476-1279",
            "fax_number": "251-476-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSBENDER",
        "first_name": "GWEN",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Paul Farrington, M.D.
• Jeffrey Kyle Farrington, MD
• Jeffrey W Farrow, PT
• Christopher Aria Farzaneh, MD
• Christy Elaine Fassbender, CRNP
• Patricia A Fassbender, PT
• Alexa Faulkner, PHARM. D.
• Henry Wade Faulkner, M.D.
• Juliet Ann Faulkner, M.S./SLP-CCC
• Janis Marie Fausser, RPH

• Physical Therapist in Mobile, AL
• Providers in Mobile, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.