Kelsi Brooke Fabin, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P18758 Issued in NC

Practice address

1901 Summey Ave
Charlotte, NC 28205-7931

Phone

(704) 682-3903

NPI assigned

Apr 30, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Fabin Physical Therapy, LLC

  • Pediatric Physical Therapist
  • Charlotte, NC
  • NPI 1407414840

  Pediatrics

  NPD (past) Authorized official
• Full Circle Pediatric Therapy

  • Physical Therapist
  • Monroe, NC
  • NPI 1487842407
  NPD (past)

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1770147142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SUMMEY AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057931",
            "telephone_number": "704-682-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SUMMEY AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057931",
            "telephone_number": "704-682-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIN",
        "first_name": "KELSI",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F Keels Dickson Mdpa
• F. Y. Eye Care Associates, Optometrists, PA
• Melissa Marie Mosca Fabeny, M.A., L.P.C
• Katie Fabian, DPT
• Fabin Physical Therapy, LLC
• Austin Gerard Faccone, D.C.
• Michael Anton Facklmann, CRNFA
• Jennifer Fadel, LCMHCA
• Yonis Mohamed Ahmed Fadlalmula
• Fafli Inc

• All providers in Charlotte, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.