Individual provider Active NPI

Seth Jason Fibraio, MPT, MTC, CSCS

  • Physical Therapist
  • Arden, NC
National Provider Identifier
1356530661
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11519 Issued in NC
Practice address
600 Julian LN
Suite 660
Arden, NC 28704-7813
Phone
(828) 684-3611
Fax
(828) 684-3612
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00944300 NJ
Orthopedic Physical Therapist 2251X0800X 40QA00944300 NJ
Physical Therapist 225100000X 11519 NC Primary

Addresses

Primary practice location

600 Julian LN
Suite 660
Arden, NC 28704-7813

Mailing address

600 Julian LN
Suite 660
Arden, NC 28704-7813
Phone (828) 684-3611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000294 NC Practitioner - Physical Therapist in Private Practice 5991788705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Physical Therapy IncGroup PAC ID 1850477266, 16 clinicians

Practice addresses (Care Compare)

600 Julian LN
Suite 660
Arden, NC 28704-7815
Phone (828) 684-3611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11519NCMDPhysical Therapist
40QA00944300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Physical Therapy, Inc Physical Therapist CurrentSince Mar 11, 2008 Accepting new patients
Cornerstone Physical Therapy Physical Therapist PastSince May 16, 2003 Accepting new patients

Locations

600 Julian Ln
Ste 660
Arden, NC 28704
Phone (828) 684-3611

Organizations & group practices 2

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1356530661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JULIAN LN",
            "address_2": "SUITE 660",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047813",
            "telephone_number": "828-684-3611",
            "fax_number": "828-684-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JULIAN LN",
            "address_2": "SUITE 660",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047813",
            "telephone_number": "828-684-3611",
            "fax_number": "828-684-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIBRAIO",
        "first_name": "SETH",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "MPT, MTC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00944300",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00944300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.