Keith C. Fisher, PT, OCS, MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2759-024 Issued in WI

Practice address

1449 Green Bay Rd
Sturgeon Bay, WI 54235-3846

Phone

(920) 746-7200

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aurora Medical Group, Inc.

  • Certified Registered Nurse Anesthetist
  • Milwaukee, WI
  • NPI 1427271378

  WI

  Medicare reassignment NPD
• Fyzbiz, LLC

  • Rehabilitation Clinic/Center
  • Fort Myers, FL
  • NPI 1700248887

  Physical Therapist

  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Greenfield, WI
  • NPI 1174611313
  NPD (past)
• Baycare Aurora, LLC

  • General Acute Care Hospital
  • Green Bay, WI
  • NPI 1255387726
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aurora Medical Group, Inc. 3,764 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kfisher149440@direct.myadvocateaurora.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2025.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1124073929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 GREEN BAY RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353846",
            "telephone_number": "920-746-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Memorial Dr",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542202247",
            "country_code": "US",
            "telephone_number": "920-652-9554",
            "fax_number": "920-652-9556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KEITH",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "PT, OCS, MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2759-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "391-99-7089",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40144000",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/Documentsubmission/2_0/Nhinservice/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1212 Memorial Dr",
            "address_2": "Suite 1",
            "city": "Manitowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542202247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfisher149440@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1212 Memorial Dr",
            "address_2": "Suite 1",
            "city": "Manitowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542202247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James L Evers, PT
• Susan M Exworthy, LCSW CSAC
• Eyes for You Inc
• Paul Andrew Filar, O.D.
• Martin Finck, M.D.
• Caitlin Victoria Mary Fleming, MD/MBA
• Sheryl Faye Flores, LCSW,MSW
• Amy Catherine Fogarty, MD
• Chantel Lenae Foltz, PT, DPT
• Forefront Dermatology, S.C.

• All providers in Sturgeon Bay, WI
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.