Healthcare Provider Details

I. General information

NPI: 1376458828
Provider Name (Legal Business Name): FABRIZIO PHYSICAL THERAPY AND SPORTS MEDICINE NEWPORT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 BAYVIEW CIR # 225
NEWPORT BEACH CA
92660-2948
US

IV. Provider business mailing address

23986 ALISO CREEK RD STE 109
LAGUNA NIGUEL CA
92677-3908
US

V. Phone/Fax

Practice location:
  • Phone: 661-713-6565
  • Fax:
Mailing address:
  • Phone: 661-713-6565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAVID MICHAEL FABRIZIO
Title or Position: OWNER/DIRECTOR
Credential: PT, OCS
Phone: 310-717-9888