Karen M Fabreo-Hittle, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27480 Issued in CA

Practice address

3215 North California Street Suite#4
Stockton, CA 95204

Phone

(209) 464-6016

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942381942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 YELLOWSTONE ST",
            "city": "WOODBRIDGE",
            "state": "CA",
            "postal_code": "952589602",
            "telephone_number": "209-369-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 NORTH CALIFORNIA STREET SUITE#4",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95204",
            "telephone_number": "209-464-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABREO-HITTLE",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "27480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ekenedilichukwu Ezenwaka, NP
• Ezra Medical Rehab & Recovery Center
• Ezra Medical Rehab & Recovery Center
• F Karl Gregorius M.D., Inc.
• Todd Fabian, MA, BCBA
• Katie Denise Faccini
• Ciarra Monique Fackender
• Claudia Beth Fagilde, NP
• Anan Adnan Faidi, MD
• Monet Fairley

• Physical Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.