Patricia F Fasciotti, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10353024 Issued in WI

Practice address

625 E Saint Paul Ave
Milwaukee, WI 53202-5907

Phone

(414) 272-9595

Fax

(414) 272-9594

NPI assigned

Sep 26, 2006

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

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 and National Provider Directory roles.

• Evolution Exercise & Spine Center

  • Physical Therapist
  • Pewaukee, WI
  • NPI 1558306332
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1639270978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16355 ONONDAGA CIR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E SAINT PAUL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025907",
            "telephone_number": "414-272-9595",
            "fax_number": "414-272-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASCIOTTI",
        "first_name": "PATRICIA",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10353024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lyn Farrey, PT
• Charonda Patrice Farrington, R.N.
• Lynn Ann Farrow, O.T.
• Elizabeth Grace Farvour
• Farzad Kamrani,MD.SC.
• Brittany A Fasse, APNP
• Panayotis Fasseas, MD
• Suzanne Louise Fastner
• Esther Fateye
• Aquila Fathima, MD

• Physical Therapist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.