John Patrick Fahy, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

030562-1 Issued in NY

Practice address

612 Corporate Way
Suite 7
Valley Cottage, NY 10989-2021

Phone

(845) 268-7800

Fax

(845) 268-5037

NPI assigned

Aug 25, 2009

Sex

Male

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)

Enrolled

State licenses

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.

• RB Physical and Occupational Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1790013282

  Orthopedic

  NPD
• One on One Physical Therapy Services PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1740423219
  NPD (past)
• Procore Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Nanuet, NY
  • NPI 1013219047
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1205069259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY",
            "address_2": "SUITE 7",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892021",
            "telephone_number": "845-268-7800",
            "fax_number": "845-268-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY",
            "address_2": "SUITE 7",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892021",
            "telephone_number": "845-268-7800",
            "fax_number": "845-268-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHY",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "030562-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Zbar NP in Family Health PLLC
• Elite Social Adult Day Care LLC
• Empire Orthopedic Physical Therapy and Rehabilitation, PLLC
• Natalie Camille Espeso
• Gina Faccioli
• Faith First Nursing Services
• Family Practice Associates of Rockland, PC
• Pamela Fanara, COTA/L
• Diane Farris, OTR/L
• Megan Elizabeth Fay, LPN

• Orthopedic Physical Therapist in Valley Cottage, NY
• Providers in Valley Cottage, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.