Individual provider Active NPI

Frank Rocco Fabbiano, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1235453952
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9904 Issued in FL
Practice address
2604 W Waters Ave
Tampa, FL 33614-1835
Phone
(813) 879-6200
NPI assigned
Mar 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 9904 FL Primary

Addresses

Primary practice location

2604 W Waters Ave
Tampa, FL 33614-1835

Mailing address

4311 Place Le Manes
Lutz, FL 33558-5360
Phone (716) 480-1287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131122001699 FL Practitioner - Chiropractic 5698901544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valrico Spine and Rehab CenterGroup PAC ID 4880820737, 3 clinicians

Practice addresses (Care Compare)

1103 Lithia Pinecrest Rd
Brandon, FL 33511-6713
Phone (813) 868-1138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 9904FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Valrico Spine and Rehab Center Chiropractor CurrentSince Nov 20, 2013 Accepting new patients

Locations

1103 Lithia Pinecrest Rd
Brandon, FL 33511
Phone (813) 657-3550

2977 Allegra Way
Lutz, FL 33559
Phone (813) 868-1138

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1235453952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 PLACE LE MANES",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585360",
            "telephone_number": "716-480-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141835",
            "telephone_number": "813-879-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABBIANO",
        "first_name": "FRANK",
        "middle_name": "ROCCO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.