Active NPI
Daniel Paul Fisher, PT, OCS, MHA, FACHE
- Physical Therapist
- Augusta, GA
National Provider Identifier
1124088281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013521
- Practice address
- St. John Towers
724 Greene Street
Augusta, GA 30901 - Phone
- (706) 496-8288
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013521 | GA | Primary |
Addresses
Primary practice location
St. John Towers
724 Greene Street
Augusta, GA 30901
Mailing address
300 W Hospital Rd
Fort Gordon, GA 30905-5741
Phone (706) 787-1024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1124088281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W HOSPITAL RD",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "309055741",
"telephone_number": "706-787-1024",
"fax_number": "706-787-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. JOHN TOWERS",
"address_2": "724 GREENE STREET",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30901",
"telephone_number": "706-496-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "DANIEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "PT, OCS, MHA, FACHE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2021-08-09",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT013521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.