Individual provider Active NPI

Samuel Clifford Fischer, PT, DPT, RMSK

  • Physical Therapist
  • Rochester, MN
National Provider Identifier
1093367401
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11509 Issued in MN
Practice address
3708 Broadway Ave N Ste 110
Rochester, MN 55906-4159
Phone
(507) 322-3460
Fax
(507) 322-3450
NPI assigned
Jul 15, 2019
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 11509 MN
Physical Therapist 225100000X 11509 MN Primary

Addresses

Primary practice location

3708 Broadway Ave N Ste 110
Rochester, MN 55906-4159

Mailing address

PO Box 7197
Rochester, MN 55903-7197
Phone (507) 322-3460

Other practice location 1

1414 S Oak Ave Ste 2
Owatonna, MN 55060-3957
Phone (507) 451-8254

Other practice location 2

3100 19th St NW Ste 200
Rochester, MN 55901-6606
Phone (507) 322-3460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917000023 MN Practitioner - Physical Therapist in Private Practice 5890024814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Activept, Corp.Group PAC ID 9931279932, 76 clinicians

Practice addresses (Care Compare)

3100 19TH St NW
Suite 200
Rochester, MN 55901-6606
Phone (507) 322-3460

Merit-based Incentive Payment System (MIPS)

Final score
92.09 of 100Reported as group
Quality
96.62
Improvement activities
40
Cost
79.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11509MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Activept Corp CurrentSince Sep 1, 2020 Accepting new patients
Pursuitpt LLC Physical Therapist CurrentSince Mar 7, 2021 Accepting new patients

Locations

1414 S Oak Ave
Ste 2
Owatonna, MN 55060
Phone (507) 451-8254

3100 19th St NW
Ste 200
Rochester, MN 55901

3708 Highway 63 N
Ste 110
Rochester, MN 55906

Interoperability endpoints

  • Direct secure messaging: samuel.fischer.1@28772.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1093367401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7197",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559037197",
            "telephone_number": "507-322-3460",
            "fax_number": "507-322-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 BROADWAY AVE N STE 110",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064159",
            "telephone_number": "507-322-3460",
            "fax_number": "507-322-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 S Oak Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550603957",
            "country_code": "US",
            "telephone_number": "507-451-8254",
            "fax_number": "507-322-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 19th St NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559016606",
            "country_code": "US",
            "telephone_number": "507-322-3460",
            "fax_number": "507-322-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "SAMUEL",
        "middle_name": "CLIFFORD",
        "credential": "PT, DPT, RMSK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "11509",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.

Verify at the official NPI Registry.