Fabatherapy is a
Early Intervention Provider Agency based in Philadelphia, Pennsylvania. Fabatherapy is licensed to practice in * (Not Available) (license number ) and their current practice location is
13109 Bustleton Ave, Suite A29, Philadelphia, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(484) 838-6173.
NPI number for Fabatherapy is 1104426055 and their current mailing address is Po Box 52138, Philadelphia, Pennsylvania. Fabatherapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1104426055.
Healthcare Provider's Profile
| Full Name | Fabatherapy |
|---|
| Type | Facility |
|---|
| Speciality | Early Intervention Provider Agency |
|---|
| Location | 13109 Bustleton Ave, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104426055
- Provider Enumeration Date: 10/29/2020
- Last Update Date: 02/15/2021
Medical Identifiers
Medical identifiers for Fabatherapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104426055 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 225XM0800X | Occupational Therapist - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fabatherapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fabatherapy
Po Box 52138,
Philadelphia, PA 19115-7138
Ph: (484) 838-6173 | Fabatherapy
13109 Bustleton Ave, Suite A29,
Philadelphia, PA 19116
Ph: (484) 838-6173 |
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