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NICHOLAS FASANO DPT
NPI 1942953575
Physical Therapist - Pediatrics in Staten Island, NY

Active since February 02, 2022
962 MANOR RD, STATEN ISLAND, NY 10314(718) 494-2724 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nicholas Fasano Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS FASANO DPT (NPI 1942953575) is an individual pediatrics provider in Staten Island, New York and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1942953575
Entity TypeIndividualMale
Primary Taxonomy2251P0200X
Provider Legal NameNICHOLAS FASANOCredential: DPT
Location Address962 MANOR RDStaten Island, NY 10314-7041
Mailing Address572 16th StBrooklyn, NY 11218-1201 · (347) 749-0350
Phone(718) 494-2724
Sole ProprietorNo
Enumeration DateFebruary 2, 2022
NPPES CertifiedFebruary 2, 2022
✔ NPI 1942953575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
962 MANOR RD, Staten Island, NY 10314
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALEXANDRA CASTRIS DPT
Physical Therapist
962 MANOR RD
STATEN ISLAND, NY 10314
Richmond County (718) 982-5944
SARAH SCHWARTZBERG OTR/L
Occupational Therapist
962 MANOR RD
STATEN ISLAND, NY 10314
Richmond County (719) 982-5944
VICTORIA AZER
Speech-Language Pathologist
962 MANOR RD
STATEN ISLAND, NY 10314
Richmond County (718) 982-5944
CAROLINE JEWEL MOORE OTR/L
Occupational Therapist
962 MANOR RD
STATEN ISLAND, NY 10314
Richmond County (718) 982-5944
PAMELA R. DORMAN O.T.R.
Specialist
962 MANOR RD
STATEN ISLAND, NY 10314
Richmond County (718) 982-5944
MISS KRISTIN SILLETTI MS, CF-SLP
Speech-Language Pathologist
962 MANOR RD
STATEN ISLAND, NY 10314
Richmond County (718) 982-5944
ANNA ELIZABETH SALAMINO OTR/L
Occupational Therapist
962 MANOR RD
STATEN ISLAND, NY 10314
Richmond County (315) 877-3686
MRS. ABBY DARLENE ENGEL OTR
Occupational Therapist
962 MANOR RD
STATEN ISLAND, NY 10314
Richmond County (718) 982-5944

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Fasano's NPI number?

The NPI number for Nicholas Fasano is 1942953575. It was assigned to this individual provider in the NPPES registry on February 2, 2022.

Where is Nicholas Fasano located?

Nicholas Fasano practices at 962 Manor Rd, Staten Island, NY 10314. The listed phone number is (718) 494-2724.

What is Nicholas Fasano's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Nicholas Fasano was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.