Fairfield Rehab Services LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FAIRFIELD REHAB SERVICES LLC

Practice address

1261 Post Rd
Suite 200
Fairfield, CT 06824-6072

Phone

(203) 292-6695

Fax

(203) 292-6697

NPI assigned

Sep 5, 2011

Last updated

Sep 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Mastino

Title

Member

Phone

(203) 292-6695

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315180800000",
    "number": "1164703104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 POST RD",
            "address_2": "SUITE 200",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 POST RD",
            "address_2": "SUITE 200",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246072",
            "telephone_number": "203-292-6695",
            "fax_number": "203-292-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-05",
        "last_updated": "2011-09-05",
        "status": "A",
        "authorized_official_last_name": "MASTINO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-292-6695"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2011; 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.