MABELLE TEODORO MEDINA


Address: 175 Jefferson St, Fairfield, CT 06825-1078
Phone: 2033656443

MABELLE TEODORO MEDINA (NPI# 1184921017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184921017
Entity Type Individual
Full Name MABELLE TEODORO MEDINA
Credential PT
Practice Address 175 Jefferson St
Fairfield
CT 06825-1078
Practice Telephone 2033656443
Practice Fax Number 2033961046
Mailing Telephone 2033656443
Mailing Fax Number 2033961046
Enumeration Date 2011-02-11
Last Update Date 2011-02-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251G0304X Physical Therapist
Specialization: Geriatrics
0007457 CT Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 175 JEFFERSON ST
City FAIRFIELD
State CT
Zip Code 06825-1078

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124026406 Hervey A Weitzman Internal Medicine 175 Jefferson St, Fairfield, CT 06825-1078 2005-07-12
1376916874 Anne Peterlin Specialist 175 Jefferson St, Fairfield, CT 06825-1078 2015-11-05
1336511401 Alla Bourlatskii Speech-Language Pathologist 175 Jefferson St, Fairfield, CT 06825-1078 2015-10-28
1538536040 Katherine Windsor Physical Therapist 175 Jefferson St, Fairfield, CT 06825-1078 2015-09-01
1629445135 Heather Powell Physical Therapist 175 Jefferson St, Fairfield, CT 06825-1078 2015-09-01
1245611607 Sarah Ann Kanarek Occupational Therapist 175 Jefferson St, Fairfield, CT 06825-1078 2015-06-11
1407253461 Courtney Alison Pulie Occupational Therapist 175 Jefferson St, Fairfield, CT 06825-1078 2014-11-19
1932504487 Kathleen Dunne Occupational Therapist 175 Jefferson St, Fairfield, CT 06825-1078 2014-10-27
1366874760 Caitlin R Conway Physical Therapist 175 Jefferson St, Fairfield, CT 06825-1078 2013-08-07
1922444348 Maria Lynn Modugno Occupational Therapist 175 Jefferson St, Fairfield, CT 06825-1078 2013-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598376535 Andrew Kalach Physical Therapist 2373 Black Rock Turnpike, Fairfield, CT 06825 2020-08-13
1346871423 Clarivision-advanced Eye Care Optometrist 40 Black Rock Turnpike, Fairfield, CT 06825 2020-01-28
1730720145 L Burke LLC Marriage & Family Therapist 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 2019-10-07
1760045066 Stephen Miguel Pou Dentist 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 2019-04-22
1548716111 Connecticut Orthopaedic Specialists, PC Specialist 425 Boston Post Road, Fairfield, CT 06825 2016-09-01
1497131239 Alice Z Kelly Social Worker 113 Sky Top Drive, Fairfield, CT 06825 2015-08-04
1902218647 John Feiler Occupational Therapist 175 Jefferson St., Fairfield, CT 06825 2014-05-29
1710242870 Bridge Partnership, LLC Community/Behavioral Health 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 2012-07-05
1154614543 Center for The Healing Arts, PC Internal Medicine 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 2011-05-18
1538468012 Barbara Cohen Occupational Therapist 175 Jefferson Street, Fairfield, CT 06825 2011-03-23
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Taxonomy Information

Taxonomy Code 2251G0304X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Geriatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003431313 Michael Tiopianco Physical Therapist 1255 Travis Blvd, Fairfield, CA 94533-4801 2020-06-11
1538536040 Katherine Windsor Physical Therapist 175 Jefferson St, Fairfield, CT 06825-1078 2015-09-01
1629445135 Heather Powell Physical Therapist 175 Jefferson St, Fairfield, CT 06825-1078 2015-09-01
1194033050 Christy Marie Chorek Physical Therapist 175 Jefferson St, Fairfield, CT 06825-1078 2010-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174902381 Lynnette Dufresne Physical Therapist 84 Brown St, Hamden, CT 06518-2102 2015-05-20
1205234101 Alden Alleyne Physical Therapist 126 Carey Ave, Meriden, CT 06451-1907 2014-12-09
1417351156 Lisa Pacifico Physical Therapist 44 Maritime Dive, Mystic, CT 06355 2014-10-09
1598009177 Body Flex Physical Therapy LLC Physical Therapist 28 Kristen Dr, Portland, CT 06480-1153 2012-11-20
1083848220 Personal Therapy and Home Safety, LLC Physical Therapist 129 Coldbrook Rd, South Glastonbury, CT 06073-2709 2009-05-02
1477723716 Lesley May Pincince Physical Therapist 330 Amity Rd, Woodbridge, CT 06525-2131 2008-03-03
1730357294 Anna Antonovsky Rojek Physical Therapist 31 W Maxwell Dr, West Hartford, CT 06107-1442 2008-02-18
1760600860 Paula Bishop Physical Therapist 1157 Highland Ave, Suite 101, Cheshire, CT 06410-1600 2007-04-23
1649304643 Michael Joseph Catuccio Physical Therapist 2 Case Cir, West Simsbury, CT 06092-2200 2007-03-14
1710993597 William F. Burke Jr. Physical Therapist 70 Rosewood Dr, Suffield, CT 06078-2014 2006-07-31
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Competitor

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City FAIRFIELD
Zip Code 06825

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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