Individual provider Active NPI

Michael Dominic Fabrizio, OTR L

  • Occupational Therapist
  • Tiffin, OH
National Provider Identifier
1851384424
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2535 Issued in OH
Practice address
676 Miami St
Ste a
Tiffin, OH 44883-1934
Phone
(419) 448-5533
Fax
(419) 448-5559
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT2535 OH Primary

Addresses

Primary practice location

676 Miami St
Ste a
Tiffin, OH 44883-1934

Mailing address

676 Miami St
Ste a
Tiffin, OH 44883-1934
Phone (419) 448-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT2535OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fabrehab Services, LLC PastSince Jan 1, 1990 Accepting new patients

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1851384424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 MIAMI ST",
            "address_2": "STE A",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831934",
            "telephone_number": "419-448-5533",
            "fax_number": "419-448-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 MIAMI ST",
            "address_2": "STE A",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831934",
            "telephone_number": "419-448-5533",
            "fax_number": "419-448-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRIZIO",
        "first_name": "MICHAEL",
        "middle_name": "DOMINIC",
        "name_prefix": "Mr.",
        "credential": "OTR L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT2535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.