Individual provider Active NPI

Ronald Fabello, RPT

  • Sports Physical Therapist
  • New York, NY
National Provider Identifier
1245548411
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
028142 Issued in NY
Practice address
1865 Amsterdam Ave Lowr Level
New York, NY 10031-1716
Phone
(516) 433-4570
Fax
(516) 433-4578
NPI assigned
Sep 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 028142 NY Primary

Addresses

Primary practice location

1865 Amsterdam Ave Lowr Level
New York, NY 10031-1716

Mailing address

111 W Old Country Rd Unit 1
Hicksville, NY 11801-4036
Phone (516) 433-4570

Other practice location 1

460 Grand St
New York, NY 10002-4058
Phone (212) 566-8855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000045 NY Practitioner - Physical Therapist in Private Practice 0648422758 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Upper Manhattan Physical Therapy PCGroup PAC ID 2769814383, 3 clinicians

Practice addresses (Care Compare)

232 E 66TH St
New York, NY 10065-9100
Phone (917) 267-7470

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Doctor,P.C Sports CurrentSince Mar 1, 2025 Accepting new patients
New York Luna Care Physical Therapy PLLC CurrentSince Jul 19, 2024 Accepting new patients
Home Physical Therapy Solutions P.C. Sports CurrentSince Sep 1, 2020 Accepting new patients
Bravo Occupational Therapy PC Sports PastSince Sep 1, 2020 Accepting new patients

Locations

21273 26th Ave
Bayside, NY 11360
Phone (718) 747-2019

111 W Old Country Rd
Unit 1
Hicksville, NY 11801
Phone (516) 433-4570

1846 Amsterdam Ave
New York, NY 10031
Phone (212) 543-4800

1865 Amsterdam Ave
Lowr
New York, NY 10031
Phone (212) 567-5191

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

Organizations & group practices 5

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": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1245548411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W OLD COUNTRY RD UNIT 1",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014036",
            "telephone_number": "516-433-4570",
            "fax_number": "516-433-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 AMSTERDAM AVE LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100311716",
            "telephone_number": "516-433-4570",
            "fax_number": "516-433-4578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Grand St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024058",
            "country_code": "US",
            "telephone_number": "212-566-8855",
            "fax_number": "212-566-8856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABELLO",
        "first_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-21",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "028142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.