Individual provider Active NPI

Nathan Reed Fischer, DPT

  • Physical Therapist
  • Seneca, SC
National Provider Identifier
1134924988
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12749 Issued in SC
Practice address
11091 N Radio Station Rd
Seneca, SC 29678-1142
Phone
(864) 654-2001
Fax
(800) 305-7112
NPI assigned
Feb 17, 2025
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12749 SC Primary
Physical Therapist 225100000X CP042431T OR

Addresses

Primary practice location

11091 N Radio Station Rd
Seneca, SC 29678-1142

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000

Other practice location 1

3051 S 6th St
Klamath Falls, OR 97603-4609
Phone (541) 884-1865

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251009001860 SC Practitioner - Physical Therapist in Private Practice 3375040819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Rehabilitation and SportsGroup PAC ID 1759481559, 53 clinicians

Practice addresses (Care Compare)

11091 N Radio Station Rd
Seneca, SC 29678-1142
Phone (864) 654-2001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12749SCMDPharmacist
CP042431TORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Sep 22, 2025 Accepting new patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Sep 22, 2025 Accepting new patients
Bodyworks Physical Therapy Orthopedic and Sports Rehab Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients

Locations

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

3051 S 6th St
Klamath Falls, OR 97603
Phone (541) 884-1865

501 Forest Ln
Ste A
Clemson, SC 29631
Phone (864) 654-2001

1664 E Main St
Easley, SC 29640
Phone (864) 654-2001

103 Halton Rd
#B
Greenville, SC 29607
Phone (864) 336-8599

11091 N Radio Station Rd
Seneca, SC 29678
Phone (864) 654-2001

Organizations & group practices 3

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": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1134924988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11091 N RADIO STATION RD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781142",
            "telephone_number": "864-654-2001",
            "fax_number": "800-305-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3051 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976034609",
            "country_code": "US",
            "telephone_number": "541-884-1865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "NATHAN",
        "middle_name": "REED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12749",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "CP042431T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.