Organization Active NPI

Fisher Physical Therapy, PLLC

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1063455442
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FISHER PHYSICAL THERAPY, PLLC
Practice address
14041 NW Blvd
Suite 4
Corpus Christi, TX 78410-5120
Phone
(361) 387-5000
Fax
(361) 387-5111
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Mr. John F Fisher, PTNPI 1922019173
Title
Owner
Phone
(361) 387-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

14041 NW Blvd
Suite 4
Corpus Christi, TX 78410-5120

Mailing address

14041 NW Blvd
Suite 4
Corpus Christi, TX 78410-5120
Phone (361) 387-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060918000365 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557366952 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

14041 Northwest Blvd
Corpus Christi, TX 78410

14041 Northwest Blvd
Ste 4
Corpus Christi, TX 78410
Phone (361) 387-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1063455442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14041 NW BLVD",
            "address_2": "SUITE 4",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105120",
            "telephone_number": "361-387-5000",
            "fax_number": "361-387-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14041 NW BLVD",
            "address_2": "SUITE 4",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105120",
            "telephone_number": "361-387-5000",
            "fax_number": "361-387-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-387-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.