Active NPI
Eric Michael Fiscus, MOT, OTR
- Physical Rehabilitation Occupational Therapist
- Kokomo, IN
National Provider Identifier
1033630694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 31005618A
- Practice address
- 2233 W Jefferson St
Kokomo, IN 46901-4121 - Phone
- (765) 457-9175
- NPI assigned
- Jul 4, 2017
- Last updated
- Aug 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 31005618A | IN | Primary |
Addresses
Primary practice location
2233 W Jefferson St
Kokomo, IN 46901-4121
Mailing address
4058 S 580 W
Russiaville, IN 46979-9796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
343 E 90TH Dr
Merrillville, IN 46410-8152
Phone (219) 207-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Current | Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Current | Accepting new patients |
Locations
2500 W Kilgore Ave
Muncie, IN 47304
Phone (765) 201-7878
536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237
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.
-
- Physical Therapist
- Merrillville, IN
- NPI 1053833657
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1033630694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4058 S 580 W",
"city": "RUSSIAVILLE",
"state": "IN",
"postal_code": "469799796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 W JEFFERSON ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469014121",
"telephone_number": "765-457-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCUS",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"credential": "MOT, OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-04",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "IN",
"license": "31005618A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
- Fig Tree Counseling LLC
- Bronwen Figg-Morrison, PT
- Ashlee Ann Finicle, SLP
- First Ambulatory Surgery Center
- First City Recovery Center
- Helen Fiscus, LMFT
- Kari Michelle Fisher, MA
- Tracey Renae Fisher, MSW
- Five Star Rehabilitation and Wellness Services, LLC (Ageility Physical Therapy Solutions at Northwoods)
- Christine Marie Fivecoate, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.