John Kenneth Fabbiani, PT,DPT,CSCS
Individual provider Active NPI Physical Therapist · Flanders, NJ
NPI 1114736766 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1114736766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA02312600 (NJ)
- Practice address
- 244 Route 206 Ste 3
Flanders, NJ 07836-9197 - Phone
- (973) 598-3077
- NPI assigned
- Jan 7, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Drayer Physical Therapy of New Jersey LLC
Practice addresses (Care Compare)
244 Route 206
Suite 3
Flanders, NJ 07836-9197
Phone (973) 598-3077
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250113000598 | NJ | Practitioner - Physical Therapist in Private Practice | 5799213211 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02312600 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy of New Jersey LLC | Physical Therapist | Current |
Accepting new patients |
| Drayer Physical Therapy of New Jersey LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
244 Route 206
Ste 3
Flanders, NJ 07836
Phone (973) 598-3077
1070 US Highway 46
Ste 7
Ledgewood, NJ 07852
Phone (973) 996-4767
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02312600 | NJ | Yes |
Addresses
Primary practice location
244 Route 206 Ste 3
Flanders, NJ 07836-9197
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 497-0005
Other practice location 1
1070 US Highway 46 Ste 7
Ledgewood, NJ 07852-9701
Phone (973) 996-4767
Other providers in Flanders, NJ
- Michael Richard Dunleavy
- Brittany Duran
- Eric Duteau
- Susan E. Elko
- Eye Exam Plus
- Emilie Farrell
- Feliheal Home Healthcare Services
- Wendy Ann Ferrara
- Lorraine Fierro
- Nicole Fino
All providers in Flanders, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.