John W Fornabaio Jr., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10111 Issued in TN

Practice address

851 S Willow Ave
Suite 110
Cookeville, TN 38501-4221

Phone

(931) 528-0042

Fax

(931) 528-0049

NPI assigned

Mar 30, 2007

Last updated

Oct 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Results-Ast JV, LLC

  • Physical Therapist
  • Franklin, TN
  • NPI 1780291948
  Medicare reassignment Care Compare group NPD
• Advantage Physical Therapy at Brookview

  dba Advantage Physical Therapy

  • Physical Therapist
  • East Greenbush, NY
  • NPI 1508876293
  NPD (past) Authorized official
• Results-Ast JV, LLC

  • Physical Therapist
  • Cookeville, TN
  • NPI 1780283093
  NPD (past)
• Lee Physical Therapy Wellness LLC

  • Physical Therapist
  • Cairo, NY
  • NPI 1205830973
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1649390907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S WILLOW AVE",
            "address_2": "SUITE 110",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014221",
            "telephone_number": "931-528-0042",
            "fax_number": "931-528-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNABAIO",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017936",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Floren, MD
• Cynthia J Folyer, FNP-BC, APN
• Foods of the Spirit, LLC
• Steven T Ford, BS
• Charlotte Forkum
• Mary Lou Cameron Fornehed, ACNP, BC
• Rachel L Forsythe, MSN, ACNP-BC
• Kayla Marie Foster, DNP
• Ronda Foster
• Timothy Scott Fournet, M.D.

• Physical Therapist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.