Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Miss. Mary Elaine Mabayag Fabricante, PT, DPT

Individual provider Physical Therapist · NPI 1972730786

Miss. Mary Elaine Mabayag Fabricante, PT, DPT is registered under Physical Therapist in Private Practice in Northlake, Illinois. Qualified in 2001, 25 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
25
Licensed in
IL, WI
In the registry since
2009
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

401 W Lake St
Northlake, IL 60164-2435
Phone: (708) 223-0494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.014844 (IL)
Physical Therapist Taxonomy 225100000X · Licence 11184024 (WI)

Record details

NPI number1972730786
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 18, 2009
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Colleagues at Powerback Rehabilitation LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 616 clinicians in the practice; 12 are shown here.

Other providers in Northlake