Active NPI
Mary Genevieve Fischer, PHYSICAL THERAPIST
- Physical Therapist
- New York, NY
National Provider Identifier
1043462336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010076
- Practice address
- 605 East 14TH Street
Suite 11D
New York, NY 10009-3202 - Phone
- (917) 587-5155
- NPI assigned
- Oct 17, 2008
- Sex
- Female
- 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 Therapist | 225100000X | 010076 | NY | Primary |
Addresses
Primary practice location
605 East 14TH Street
Suite 11D
New York, NY 10009-3202
Mailing address
605 East 14TH Street
Suite 11D
New York, NY 10009-3202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010076 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1043462336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 EAST 14TH STREET",
"address_2": "SUITE 11D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100093202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 EAST 14TH STREET",
"address_2": "SUITE 11D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100093202",
"telephone_number": "917-587-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "MARY",
"middle_name": "GENEVIEVE",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.