Mark Stephen Fisher, M.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22615 Issued in CA

Practice address

1225 Eureka Way Ste B
Redding, CA 96001-0815

Phone

(530) 247-1280

Fax

(530) 247-0310

NPI assigned

Feb 20, 2012

Last updated

Feb 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Farwest Rehabilitation, Inc

  dba Mountain View Physical Therapy

  • Specialist
  • Redding, CA
  • NPI 1861406100
  Authorized official Same address or phone

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1053684159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 EUREKA WAY STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010815",
            "telephone_number": "530-247-1280",
            "fax_number": "530-247-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 EUREKA WAY STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010815",
            "telephone_number": "530-247-1280",
            "fax_number": "530-247-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "credential": "M.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firstsight Vision Services, Inc.
• Brian Anthony Fischer, M.D., PH.D.
• Diana Christine Fischer, M.A.,MFT
• Nicole Marina Fischer
• Kasondra Fisher
• Raenna Fisher
• Veronica Fisher, BSW
• Fit Physical Therapy, Inc
• Alexis Fitch
• Elisan Lautt Fitch, BSN

• Physical Therapist in Redding, CA
• Providers in Redding, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.