Active NPI
Fabricio Passos Rodrigues, MSPT
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029870-1
- Practice address
- 1968 7TH Ave
Apt 3B
New York, NY 10026-1726 - Phone
- (917) 703-2044
- NPI assigned
- Jan 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029870-1 | NY | Primary |
Addresses
Primary practice location
1968 7TH Ave
Apt 3B
New York, NY 10026-1726
Mailing address
1968 7TH Ave
Apt 3B
New York, NY 10026-1726
Phone (917) 703-2044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
430 W 24TH St
Suite 1F
New York, NY 10011-1328
Phone (212) 741-5544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029870-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bounce Back Physical Therapy, PC | Current | Accepting new patients | |
| Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy and Chiropractic PLLC | Physical Therapist | Current | Accepting new patients |
Locations
10814 72nd Ave
Ste 4
Forest Hills, NY 11375
Phone (718) 749-2171
3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080
430 W 24th St
Apt 1F
New York, NY 10011
Phone (212) 741-5544
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1285602193
-
- Physical Therapist
- Great Neck, NY
- NPI 1841526399
-
- Physical Therapist
- Forest Hills, NY
- NPI 1144622515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1306176870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1968 7TH AVE",
"address_2": "APT 3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261726",
"telephone_number": "917-703-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 7TH AVE",
"address_2": "APT 3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100261726",
"telephone_number": "917-703-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "FABRICIO",
"middle_name": "PASSOS",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029870-1",
"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 Jan 6, 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.