NPIMap

Organization Active NPI

Fabrizio Chiropractic & Physical Rehabilitation Clinic Inc.

  • Chiropractor
  • Tiffin, OH
National Provider Identifier
1114085271
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2485 Issued in OH
Legal business name
FABRIZIO CHIROPRACTIC & PHYSICAL REHABILITATION CLINIC INC.
Practice address
1560 W Market St
Tiffin, OH 44883-2578
Phone
(419) 448-5533
Fax
(419) 448-5559
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Dr. Dominic Anthony Fabrizio, DCNPI 1225021793
Title
Owner
Phone
(419) 448-5533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2485 OH Primary

Addresses

Primary practice location

1560 W Market St
Tiffin, OH 44883-2578

Mailing address

1560 W Market St
Tiffin, OH 44883-2578
Phone (419) 448-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914000141 OH Part B Supplier - Clinic/Group Practice 3072580679 Receives reassigned benefits from 2 practitioners
Practice locations: Tiffin, OH

National Provider Directory

National Provider Directory
Tax ID family
Fabrehab Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

676 Miami St
Tiffin, OH 44883
Phone (419) 448-5533

1560 W Market St
Tiffin, OH 44883
Phone (419) 448-5533

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1114085271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 W MARKET ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832578",
            "telephone_number": "419-448-5533",
            "fax_number": "419-448-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 W MARKET ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832578",
            "telephone_number": "419-448-5533",
            "fax_number": "419-448-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABRIZIO CHIROPRACTIC & PHYSICAL REHABILITATION CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "FABRIZIO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-448-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.