Dominic Anthony Fabrizio, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2485 Issued in OH

Practice address

676 Miami St
Tiffin, OH 44883-1934

Phone

(419) 448-5533

Fax

(419) 448-5559

NPI assigned

Aug 30, 2005

Last updated

Oct 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Csji-Tiffin Inc

  dba St Francis Senior Ministries

  • Skilled Nursing Facility
  • Tiffin, OH
  • NPI 1467924043

  Corporate Director, Corporate Officer

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fabrizio Chiropractic & Physical Rehabilitation Clinic Inc.

  • Chiropractor
  • Tiffin, OH
  • NPI 1114085271
  Medicare reassignment NPD Authorized official
• Fabrehab Services, LLC

  • Physical Therapy Clinic/Center
  • Tiffin, OH
  • NPI 1477961209
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1225021793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 MIAMI ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831934",
            "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": "676 MIAMI ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831934",
            "telephone_number": "419-448-5533",
            "fax_number": "419-448-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRIZIO",
        "first_name": "DOMINIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017801",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell Ray Exlos-Raber, LPC
• Pamela Faber, LPCC
• Fabrehab Services, LLC
• Fabrizio Chiropractic & Physical Rehabilitation Clinic Inc.
• Carmella Fabrizio
• Michael Dominic Fabrizio, OTR L
• Shayna Lewis Fabrizio, PT
• Family Counseling Service Incorporated
• Christine Marie Farris, LCDC III
• Braxton Fasone, DPT

• Chiropractor in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.