Caroline B Fabian

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010023 Issued in GA

Practice address

818 Church St NE
Marietta
Marietta, GA 30060-8969

Phone

(770) 792-5275

NPI assigned

Oct 20, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1447535521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 CHURCH ST NE",
            "address_2": "MARIETTA",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 CHURCH ST NE",
            "address_2": "MARIETTA",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608969",
            "telephone_number": "770-792-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "CAROLINE",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Ezeanii
• Emeka Albert Ezegbo, RPH
• Donatus Ikechukwu Ezenneka
• Freda Chinasa Ezeokonkwo, NP
• Anna Ezrine
• Thaddeus Sebastian Fabian, M.D.
• Face Atlanta
• Creystal Demi Fagbohun, LCSW
• Amanda Fairbanks
• Robert Thomas Fairman, PHD, MPH, CHES

• Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.