Active NPI
Madison Kay Fisher, PTA
- Physical Therapy Assistant
- Dyer, IN
National Provider Identifier
1124746151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06006378A
- Practice address
- 1532 Calumet Ave
Dyer, IN 46311-1588 - Phone
- (219) 515-4700
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 06006378A | IN | Primary |
Addresses
Primary practice location
1532 Calumet Ave
Dyer, IN 46311-1588
Mailing address
12607 Primrose CT
Wheatfield, IN 46392
Phone (219) 863-2439
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | madisonfisher180&gmail.com | Other |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06006378A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1124746151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12607 PRIMROSE CT",
"city": "WHEATFIELD",
"state": "IN",
"postal_code": "46392",
"telephone_number": "219-863-2439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 CALUMET AVE",
"city": "DYER",
"state": "IN",
"postal_code": "463111588",
"telephone_number": "219-515-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MADISON",
"middle_name": "KAY",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06006378A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "madisonfisher180&gmail.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Email",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1532 Calumet Ave",
"city": "Dyer",
"state": "IN",
"country_code": "US",
"postal_code": "463111588",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dyer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.