Individual provider Active NPI

Robin A Fanizzi, DPT

  • Physical Medicine & Rehabilitation Physician
  • Hilton Head Island, SC
National Provider Identifier
1750352886
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
12071 Issued in SC
Practice address
460 William Hilton Pkwy
Hilton Head Island, SC 29926-2497
Phone
(843) 738-4300
Fax
(843) 738-4801
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40QA00596800 NJ
Physical Medicine & Rehabilitation Physician 208100000X 12071 SC Primary

Addresses

Primary practice location

460 William Hilton Pkwy
Hilton Head Island, SC 29926-2497

Mailing address

460 William Hilton Pkwy
Hilton Head Island, SC 29926-2497
Phone (843) 738-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522000433 SC Practitioner - Physical Therapist in Private Practice 7214971241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Symbios Medical ServicesGroup PAC ID 2860899200, 12 clinicians

Practice addresses (Care Compare)

460 William Hilton Pkwy
Hilton Head Island, SC 29926-2497
Phone (843) 738-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Symbios Medical Services CurrentSince Mar 20, 2024 Accepting new patients

Locations

460 William Hilton Pkwy
Ste A
Hilton Head Island, SC 29926
Phone (843) 738-4800

Interoperability endpoints

  • Direct secure messaging: robin.fanizzi.1@25915.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25915/brand/1/csg/1/fhir/r4

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1750352886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WILLIAM HILTON PKWY",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262497",
            "telephone_number": "843-738-4300",
            "fax_number": "843-738-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 WILLIAM HILTON PKWY",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262497",
            "telephone_number": "843-738-4300",
            "fax_number": "843-738-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANIZZI",
        "first_name": "ROBIN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA00596800",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "12071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.