Active NPI
Fabin Physical Therapy, LLC
- Pediatric Physical Therapist
- Charlotte, NC
National Provider Identifier
1407414840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Legal business name
- FABIN PHYSICAL THERAPY, LLC
- Practice address
- 1901 Summey Ave
Charlotte, NC 28205-7931 - Phone
- (704) 682-3903
- NPI assigned
- May 31, 2019
- Last updated
- May 31, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelsi Brooke Fabin, PT, DPT
- Title
- Owner, Physical Therapist
- Phone
- (704) 682-3903
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary |
Addresses
Primary practice location
1901 Summey Ave
Charlotte, NC 28205-7931
Mailing address
1901 Summey Ave
Charlotte, NC 28205-7931
Phone (704) 682-3903
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559260800000",
"number": "1407414840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 SUMMEY AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282057931",
"telephone_number": "704-682-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 SUMMEY AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282057931",
"telephone_number": "704-682-3903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FABIN PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-31",
"last_updated": "2019-05-31",
"status": "A",
"authorized_official_last_name": "FABIN",
"authorized_official_first_name": "KELSI",
"authorized_official_middle_name": "BROOKE",
"authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
"authorized_official_telephone_number": "704-682-3903",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.