Individual provider Active NPI

Kathryn M Fabbiano, P.T.

  • Physical Therapist
  • Kirkwood, MO
National Provider Identifier
1659312155
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2001018674 Issued in MO
Practice address
439 S Kirkwood Rd
Ste 200
Kirkwood, MO 63122-6100
Phone
(314) 822-6285
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2001018674 MO Primary

Addresses

Primary practice location

439 S Kirkwood Rd
Ste 200
Kirkwood, MO 63122-6100

Mailing address

5716 Lansdowne Ave
Suite 120
Saint Louis, MO 63109-1528
Phone (314) 416-1707

Other names 1

  • Miss Kathryn M Koller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001018674MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Care Rehabilitative Services L L C Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659312155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 LANSDOWNE AVE",
            "address_2": "SUITE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091528",
            "telephone_number": "314-416-1707",
            "fax_number": "314-416-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 S KIRKWOOD RD",
            "address_2": "STE 200",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226100",
            "telephone_number": "314-822-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABBIANO",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2001018674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "KOLLER",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.