DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS) – Physical Therapist, NPI 1114736766

DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS) is a healthcare provider. based in Ledgewood, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT,DPT,CSCS. They hold a License No. 40QA02312600 (NJ). The NPI Number for DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS) is 1114736766

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS)
NPI
1114736766
Phone
(973) 996-4767
Address
1070 US Highway 46 Ste 7
Enumeration Date
7 January 2025
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9735983077
Graduation Year
2024 (2 years ago)
PAC ID
5799213211
Group Practice PAC ID
6204050164
Professional Enrollment ID
I20250113000598
Address ID
NJ078369197FL244XX206X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS)

  • 1070 US Highway 46 Ste 7

    Ledgewood, NJ 078529701

    Phone: (973) 996-4767

    Type: Location

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone: (423) 497-0005

    Type: Mailing

  • 244 ROUTE 206 STE 3

    FLANDERS, NJ 078369197

    Phone: (973) 598-3077

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250113000598IPhysical Therapist In Private PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07852)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204050164View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL

Reviews

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Frequently asked questions

What is the standard ID for DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS) in the U.S.?
In the U.S., DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS) is identified by NPI 1114736766.
Is DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS) currently accepting referrals based on NPI status?
Registry metadata lists DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS) as active.
What type of care does DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS) provide?
DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS)?
DR. JOHN KENNETH FABBIANI (PT,DPT,CSCS) is associated with Ledgewood, New Jersey in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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