Active NPIIndividual provider

Mabelle T Medina, PT

Physical Therapist, Geriatrics in Fairfield, Connecticut

NPI Number1184921017
Practice location
175 Jefferson St, Fairfield, CT 06825-1078
Fax
203-396-1046
Last updated
February 11, 2011

Mabelle Teodoro Medina is a Physical Therapist, Geriatrics based in Fairfield, CT. Mabelle Teodoro Medina practices in Fairfield, CT and has the professional credentials of PT. The NPI Number for Mabelle Teodoro Medina is 1184921017 and holds a License No. 0007457 (CT). The current practice location address for Mabelle Teodoro Medina is 175 Jefferson St, Fairfield, CT 06825-1078 and can be reached out via phone at 203-365-6443 and via fax at 203-396-1046.

Provider Profile Details

NPI Number
1184921017
Provider Name
Mabelle Teodoro Medina
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
175 Jefferson St, Fairfield, CT 06825-1078
Phone Number
203-365-6443
Fax Number
203-396-1046
Primary Taxonomy
Physical Therapist, Geriatrics · 2251G0304X
Sole Proprietor
No
Provider Enumeration Date
February 11, 2011
Last Update Date
February 11, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Jefferson St
Fairfield, CT 06825-1078
Zip
06825-1078
Phone Number
203-365-6443
Fax Number
203-396-1046
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
175 Jefferson St
Fairfield, CT 06825-1078
City
Fairfield
State
CT
Zip
06825-1078
Phone Number
203-365-6443
Fax Number
203-396-1046

License Information

License Number
0007457
License State
CT
Taxonomy
Physical Therapist, Geriatrics · 2251G0304X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mabelle T Medina, PT?

The NPI number of Mabelle T Medina, PT is 1184921017. It was assigned on February 11, 2011 and is currently active in the NPPES registry.

What is the specialty of Mabelle T Medina, PT?

Mabelle T Medina, PT is registered under the primary taxonomy Physical Therapist, Geriatrics (code 2251G0304X), licensed in CT under license number 0007457.

Where does Mabelle T Medina, PT practice?

The practice location is 175 Jefferson St, Fairfield, CT 06825-1078. The office can be reached at 203-365-6443 (phone) or 203-396-1046 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184921017 directly on the NPPES registry website.

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