John M Fava, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11466 Issued in MA

Practice address

8 Post Office SQ
Acton, MA 01720-3948

Phone

(978) 881-0090

Fax

(978) 881-0091

NPI assigned

Jun 2, 2011

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

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Platinum Physical Therapy, Inc.Group PAC ID 5799686549, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Platinum Physical Therapy, Inc.

  • Rehabilitation Practitioner
  • Ashland, MA
  • NPI 1417010174

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Connections Physical Therapy Inc

  • Physical Therapist
  • Wellesley, MA
  • NPI 1699752931
  Medicare reassignment NPD
• Platinum Physical Therapy, Inc.

  • Occupational Therapist
  • Ashland, MA
  • NPI 1225852106
  NPD (past)
• Connections Physical Therapy NH, LLC

  • Physical Therapist
  • Merrimack, NH
  • NPI 1740725993
  NPD (past)

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1265726749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 WORCESTER RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015356",
            "telephone_number": "508-872-5133",
            "fax_number": "508-628-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 POST OFFICE SQ",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203948",
            "telephone_number": "978-881-0090",
            "fax_number": "978-881-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVA",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Evans, DPT
• Family Resources Incorporated
• Huan-Wen Fang, LIC. AC.
• Paulette Aubert Farmer, P.T.
• Jonathan Farr, LMHC
• Elayne B Feinsod, M.D.
• Allison Fenniman
• Luis Ferreira
• Galina V Ficken, MS, CCC-SLP
• Kathleen Finn, PH.D.

• Physical Therapist in Acton, MA
• Providers in Acton, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.