Peter J Fabian, P.T.
Individual provider Active NPI Physical Therapist · Larkspur, CA
NPI 1275852196 · NPPES record last updated May 18, 2010
Key facts
- NPI
- 1275852196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT12005 (CA)
- Practice address
- 5 Bon Air Rd
C-116
Larkspur, CA 94939-1143 - Phone
- (415) 261-7379
- NPI assigned
- May 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12005 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT12005 | CA | Yes |
Addresses
Primary practice location
5 Bon Air Rd
C-116
Larkspur, CA 94939-1143
Mailing address
5 Bon Air Rd
C-116
Larkspur, CA 94939-1143
Phone (415) 261-7379
Other providers in Larkspur, CA
- Edward Haack OD Inc
- Rim Elchaki
- Lisa V. Elvin
- Energy Health Center Incorporated
- Kevin Erickson
- Adam Fetter
- Natali Feyzbakhsh
- Melina Jocelyn Figueroa
- Robert Lawrence Fisher
- Five Branches Acupuncture Inc
All providers in Larkspur, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.