Theodore Fabis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034806 Issued in NY

Practice address

23 Robert Pitt Dr
Monsey, NY 10952-3373

Phone

(845) 625-2810

NPI assigned

Feb 11, 2013

Last updated

Feb 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Medical Health PC

  • General Practice Physician
  • Spring Valley, NY
  • NPI 1295043099
  NPD (past)
• Stern at Home Physical Therapy PC

  dba Stern At Home Therapy

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1467791459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BANK ST",
            "address_2": "APT 211 H",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106067000",
            "telephone_number": "845-625-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ROBERT PITT DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523373",
            "telephone_number": "845-625-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIS",
        "first_name": "THEODORE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yutta Engel, CNM
• Goldie Englard
• Laura Perry Englard
• Chana Ergas
• Dominic Esposito
• Jodi-Ann Y Fairclough, RN
• Yuliya Fazilova, MS ED
• Feel Good Imaging Inc
• Henchie Leah Feferkorn
• Jonathan Michael Feiner, PH.D.

• Physical Therapist in Monsey, NY
• Providers in Monsey, 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 Feb 11, 2013; 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.