Zoe Fackelman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007432-1 Issued in NY

Practice address

241 Parrish St
Suite a
Canandaigua, NY 14424-1727

Phone

(585) 396-1400

Fax

(585) 396-3368

NPI assigned

Feb 12, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457493017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PARRISH ST",
            "address_2": "SUITE A",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241727",
            "telephone_number": "585-396-1400",
            "fax_number": "585-396-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 PARRISH ST",
            "address_2": "SUITE A",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241727",
            "telephone_number": "585-396-1400",
            "fax_number": "585-396-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACKELMAN",
        "first_name": "ZOE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "007432-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PROVIDER I",
            "identifier": "145555FT",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1608653",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RCIPPAE PROVIDER ID",
            "identifier": "7997422",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Estochen, NP
• Karl Eurenius, MD
• John O Evans, OD
• Cheryl Lynn Eveland, R.N.
• Nicholas Edward Evertz, DC
• Family Counseling Service of the Finger Lakes, Inc.
• Meridith Fargnoli, RD
• Farmington Family Practice PC
• Tami L. Farnsworth, MSED
• Sharon M Fell, LMSW

• Physical Therapist in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.