Organization Active NPI

Fabin Physical Therapy, LLC

  • Pediatric Physical Therapist
  • Charlotte, NC
National Provider Identifier
1407414840
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Dr. Kelsi Brooke Fabin, PT, DPTNPI 1770147142
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)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.