Michael A Fabbri, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

6525 2ND Ave
Detroit, MI 48202-3006

Phone

(313) 972-4137

Fax

(313) 972-4134

NPI assigned

Jul 28, 2006

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

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1982618773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 CHESTNUT CIR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483602279",
            "telephone_number": "248-393-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023006",
            "telephone_number": "313-972-4137",
            "fax_number": "313-972-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABBRI",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "AT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Jerise Ezell, MD, MS
• Sudhakar G. Ezhuthachan, M.D.
• Ibeakolam K Ezurike
• Eberechi Hope Ezuruonye
• F.F.T.P.
• Irva Faber-Bermudez, APRN, BC
• Alan R Faber Jr., DDS
• Mark D. Faber, M.D.
• Nina Louise Fabian, DO
• William Daniel Fabiano, DMD

• Athletic Trainer in Detroit, MI
• Providers in Detroit, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.