Todd Maxwell Fisher

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT001830A Issued in PA

Practice address

51 Peters Rd
Lititz, PA 17543-7685

Phone

(717) 627-2400

NPI assigned

Dec 12, 2017

Last updated

Dec 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1043725096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PETERS RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437685",
            "telephone_number": "717-627-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PETERS RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437685",
            "telephone_number": "717-627-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "TODD",
        "middle_name": "MAXWELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT001830A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATABOC",
            "identifier": "950102",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coral D Fassnacht, CRNA
• Alex Faus, DPT
• Michelle Lee Fegley, M.D.
• Edward Joseph Feigenbaum
• Gabrielle Fiorelli, CRNP
• Flagship Rehabilitation, Inc
• John J Forgione, P.T.
• Forgionepc
• Robin L Forney
• Deanne L Fosnocht, M.D.

• Athletic Trainer in Lititz, PA
• Providers in Lititz, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.