Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Douglas Skip Fabry, LPTA

Individual provider Physical Therapy Assistant · NPI 1720474794

Mr. Douglas Skip Fabry, LPTA is a Physical Therapy Assistant in Wyoming, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
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Practice location Address checks out

202 W Agard St
Wyoming, IL 61491-1324
Phone: (309) 883-5733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.003513 (IL)

Record details

NPI number1720474794
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorYes
NPI enumeratedApril 7, 2015
Last updated in NPPESApril 7, 2015