Nicholas Fasano, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Practice address

962 Manor Rd
Staten Island, NY 10314-7041

Phone

(718) 494-2724

NPI assigned

Feb 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1942953575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 16TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181201",
            "telephone_number": "347-749-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147041",
            "telephone_number": "718-494-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASANO",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.therapy-pros.com/about.htmlhttp://www.therapy-pros.com/about.html",
            "affiliation": "Y",
            "affiliationName": "Therapy Pros, LLP",
            "address_1": "962 Manor Rd",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103147041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Salvatore Farruggia, M.D.
• Shamyla Farrukh, MD
• Alex Fasano
• Alexis Fasano, M.A., CCC-SLP
• Matthew Fasano
• Patricia Fasano, N.P.
• Daniella Fasciano, DO
• David H Fastman, MD
• Norman S. Fastman, M.D.
• Fat Rabbit Orthopedics PLLC

• Pediatric Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.