Active NPI
Kelly Fabian, PT, ATC
- Physical Therapist
- Delran, NJ
National Provider Identifier
1841263472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00922100
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00922100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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. | Past | Accepting new patients | |
| Jag-One Physical Therapy, LLC | Physical Therapist | Past | 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.
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- NPI 1205848843
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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.