Individual provider Active NPI

Alicia J Fisher, PT DPT

  • Physical Therapist
  • Adel, IA
National Provider Identifier
1003241514
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005183 Issued in IA
Practice address
516 Nile Kinnick Dr S
Suite B
Adel, IA 50003-2076
Phone
(515) 993-5599
Fax
(515) 993-1964
NPI assigned
Sep 4, 2013
Last updated
Sep 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005183 IA Primary

Addresses

Primary practice location

516 Nile Kinnick Dr S
Suite B
Adel, IA 50003-2076

Mailing address

2001 Westown Pkwy
Suite 107
West Des Moines, IA 50265-1540
Phone (515) 440-3439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131218001033 IA Practitioner - Physical Therapist in Private Practice 7911134960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physical Therapy IncGroup PAC ID 8123034436, 17 clinicians

Practice addresses (Care Compare)

803 Cottage St
Adel, IA 50003-2033
Phone (515) 993-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy Inc Physical Therapist CurrentSince Sep 18, 2013 Accepting new patients
Allergy Institute, P.C. PastSince Oct 1, 2023 Accepting new patients

Locations

516 Nile Kinnick Dr S
Ste B
Adel, IA 50003
Phone (515) 478-7171

1200 Valley West Dr
Ste 300
West Des Moines, IA 50266
Phone (515) 440-3439

2001 Westown Pkwy
Ste 107
West Des Moines, IA 50265
Phone (515) 223-8622

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1003241514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WESTOWN PKWY",
            "address_2": "SUITE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651540",
            "telephone_number": "515-440-3439",
            "fax_number": "515-440-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 NILE KINNICK DR S",
            "address_2": "SUITE B",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500032076",
            "telephone_number": "515-993-5599",
            "fax_number": "515-993-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ALICIA",
        "middle_name": "J",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "005183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adel, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.