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MABELLE TEODORO MEDINA PT NPI 1184921017


NPI Information

NPI: 1184921017
Provider Name: MABELLE TEODORO MEDINA, PT
Classification: Physical Therapist - 2251G0304X
Entity Type: Individual

Specialization: Geriatrics

Address:
175 JEFFERSON ST
FAIRFIELD, CT
ZIP 06825
Phone: (203) 365-6443
Get Directions

Mabelle Teodoro Medina, PT is a geriatrics physical therapist in Fairfield, CT. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult. Mabelle Teodoro Medina, PT NPI is 1184921017. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

175 JEFFERSON ST
FAIRFIELD, CT
ZIP 06825-078
Phone: (203) 365-6443
Fax: (203) 396-1046

The enumeration date for this NPI number is 2/11/2011 and was last updated on 2/11/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251G0304XPhysical TherapistGeriatrics0007457CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1060846991OTHERCONNECTICUTTAX ID NUMBER JEWISH HOME FOR THE ELDERLY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.