Individual provider Active NPI

Norman Fabula, PT

  • Physical Therapist
  • Port Orchard, WA
National Provider Identifier
1841491149
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60255825 Issued in WA
Practice address
463 Tremont St W Ste 100
Port Orchard, WA 98366-3743
Phone
(360) 874-0745
Fax
(360) 874-0846
NPI assigned
May 31, 2007
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 PT60255825 WA Primary

Addresses

Primary practice location

463 Tremont St W Ste 100
Port Orchard, WA 98366-3743

Mailing address

463 Tremont St W Ste 100
Port Orchard, WA 98366-3743
Phone (360) 874-0745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000827 WA Practitioner - Physical Therapist in Private Practice 0244412088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic PT Health and Performance LLCGroup PAC ID 4880824994, 3 clinicians

Practice addresses (Care Compare)

13353 NE Bel Red Rd
Suite 103
Bellevue, WA 98005-2329
Phone (425) 679-5996

16515 Meridian E
Suite 202B
Puyallup, WA 98375-6255
Phone (253) 466-3178

3000 Limited LN NW
Suite 100
Olympia, WA 98502-2704
Phone (360) 292-7245

5006 Ctr St
Suite N
Tacoma, WA 98409-2314
Phone (253) 476-3333

5006 Ctr St N
Tacoma, WA 98409-2314

5814 Graham Ave
Suite 101
Sumner, WA 98390-2728
Phone (253) 891-7093

728 S 320TH St
Suite G
Federal Way, WA 98003-5255
Phone (206) 212-6352

8511 S Tacoma Way
Suite 303
Lakewood, WA 98499-6521
Phone (253) 426-1244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Epic PT Health & Performance LLC Physical Therapist CurrentSince Nov 1, 2013 Accepting new patients
Advanced Integrative Movement, LLC Physical Therapist Past Accepting new patients
Functional Integrative Training & Contract Services, LLC Physical Therapist Past Accepting new patients

Locations

13353 NE Bel Red Rd
Ste 103
Bellevue, WA 98005
Phone (425) 679-5996

728 S 320th St
Federal Way, WA 98003
Phone (206) 212-6352

728 S 320th St
Ste G
Federal Way, WA 98003
Phone (206) 212-6352

8511 South Tacoma Way
Ste 303
Lakewood, WA 98499
Phone (253) 426-1244

3000 Limited Ln NW
Ste 100
Olympia, WA 98502
Phone (360) 292-7245

16515 Meridian E
Ste 202B
Puyallup, WA 98375
Phone (253) 466-3178

5814 Graham Ave
Ste 101
Sumner, WA 98390
Phone (253) 891-7093

5006 Center St
Ste N
Tacoma, WA 98409
Phone (253) 476-0449

Organizations & group practices 3

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1841491149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 TREMONT ST W STE 100",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663743",
            "telephone_number": "360-874-0745",
            "fax_number": "360-874-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 TREMONT ST W STE 100",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663743",
            "telephone_number": "360-874-0745",
            "fax_number": "360-874-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABULA",
        "first_name": "NORMAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60255825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.