Individual provider Active NPI

Kelly Fabian, PT, ATC

  • Physical Therapist
  • Delran, NJ
National Provider Identifier
1841263472
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00922100 Issued in NJ
Practice address
3001 Bridgeboro Rd
Delran, NJ 08075-9700
Phone
(856) 764-0494
Fax
(856) 764-0580
NPI assigned
Feb 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
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 40QA00922100 NJ Primary

Addresses

Primary practice location

3001 Bridgeboro Rd
Delran, NJ 08075-9700

Mailing address

16 Evergreen Rd
Mount Laurel, NJ 08054-2173
Phone (856) 802-1218

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170906003622 TX Practitioner - Physical Therapist in Private Practice 3870866254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bentz Physical Therapy, PCGroup PAC ID 9436185352, 8 clinicians

Practice addresses (Care Compare)

110 Pate Orr Rd S
Keller, TX 76248-1400
Phone (817) 337-0162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00922100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen E. Fox,D.O. & Associates,P.C. Past Accepting new patients
Gringeri Family Medicine, P.C. Past Accepting new patients
Rushmore Physical Therapy, P.a. PastSince Dec 9, 2014 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841263472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 EVERGREEN RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542173",
            "telephone_number": "856-802-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BRIDGEBORO RD",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759700",
            "telephone_number": "856-764-0494",
            "fax_number": "856-764-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "KELLY",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00922100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

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.
  • 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.