Individual provider Active NPI

Craig S Fava, PT

  • Physical Therapist
  • Swarthmore, PA
National Provider Identifier
1912962812
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-011552-L Issued in PA
Practice address
727 S Chester Rd
Swarthmore, PA 19081-2710
Phone
(610) 543-4605
NPI assigned
Apr 20, 2006
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 PT-011552-L PA Primary

Addresses

Primary practice location

727 S Chester Rd
Swarthmore, PA 19081-2710

Mailing address

140 Oakview Dr
Media, PA 19063-2112
Phone (610) 565-1671

Other identifiers 3

IdentifierTypeStateIssuer
7148219OtherPAAETNA TRADITIONAL #
00872660000OtherPAPERSONAL CHOICE
2582353OtherPAAETNA HMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070321000206 PA Practitioner - Physical Therapist in Private Practice 3274636709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Connecticut School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Physical Therapy Associates, P.C.Group PAC ID 4880799477, 10 clinicians

Practice addresses (Care Compare)

133 Turner LN
West Chester, PA 19380-4533
Phone (610) 344-9725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-011552-LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Physical Therapy Associates, P.C. Physical Therapist CurrentSince Oct 9, 2006 Accepting new patients
Restoration Physical Therapy LLC Physical Therapist Past Accepting new patients
Pain Relief and Physical Therapy, Inc. Physical Therapist PastSince Apr 1, 1997 Accepting new patients

Locations

500 Macdade Blvd
Milmont Park, PA 19033
Phone (610) 557-1300

719 S Chester Rd
Swarthmore, PA 19081
Phone (610) 543-4605

727 S Chester Rd
Swarthmore, PA 19081
Phone (610) 543-4605

133 Turner Ln
West Chester, PA 19380
Phone (610) 344-9725

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1912962812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OAKVIEW DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632112",
            "telephone_number": "610-565-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S CHESTER RD",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812710",
            "telephone_number": "610-543-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVA",
        "first_name": "CRAIG",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-011552-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TRADITIONAL #",
            "identifier": "7148219",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "00872660000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2582353",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swarthmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.