Renee Marie Fabin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

835 Hospital Rd
Indiana, PA 15701-3629

Phone

(724) 357-7068

NPI assigned

May 17, 2016

Sex

Female

Sole proprietor

Yes

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 PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10717/brand/1/csg/1/fhir/r4

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.

• Indiana Total Therapy Inc

  • Physical Therapist
  • Indiana, PA
  • NPI 1306081823

  Speech-Language Pathologist

  Medicare reassignment NPD
• Indiana Total Therapy

  • Physical Therapist
  • Homer City, PA
  • NPI 1568694719
  NPD

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1275980476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013629",
            "telephone_number": "814-421-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013629",
            "telephone_number": "724-357-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIN",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylie Eutsey
• Frank Evanovich
• Ryan K Evans, B.A.
• Wade Evans, CRNP
• Theresa M Fabert-Kinneer, LDN
• Brooke Michelle Fairman, DPM
• Cassidy Jo Fairman
• Julie Fairman, PT, CWT
• Tracy Falisec, RPH
• Family 1579 LLC.

• Speech-Language Pathologist in Indiana, PA
• Providers in Indiana, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.