Active NPI
Tara Fisher, DPT
- Orthopedic Physical Therapist
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT28732
- Practice address
- 3680 N Wickham Rd Ste B
Melbourne, FL 32935-2327 - Phone
- (321) 255-5500
- Fax
- (321) 255-5551
- NPI assigned
- Jul 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2782 | HI | |
| Physical Therapist | 225100000X | 9639 | CO | |
| Physical Therapist | 225100000X | 28732 | FL | |
| Orthopedic Physical Therapist | 2251X0800X | PT28732 | FL | Primary |
Addresses
Primary practice location
3680 N Wickham Rd Ste B
Melbourne, FL 32935-2327
Mailing address
5565 N Wickham Rd
Melbourne, FL 32940-7304
Phone (407) 573-3352
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9639 | Other | CO | CO LICENSE |
| 28732 | Other | FL | FL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5565 N Wickham Rd
Melbourne, FL 32940-7304
Phone (321) 843-5851
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9639 | CO | MD | General Practice Dentistry |
| 28732 | FL | MD | Physical Therapist |
| 2782 | HI | MD | Physical Therapist |
| PT28732 | FL | MD | Orthopedic Physical Therapist |
Practice roles (9 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beachside Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Beachside Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Tara Fisher DPT LLC | Physical Therapist | Current | Accepting new patients |
| Beachside Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Kauai Independent Rehabilitation Associates, LLC | Physical Therapist | Past | Accepting new patients |
| Cora Health Services Inc | Past | Accepting new patients | |
| Cora Health Services, Inc | Past | Accepting new patients |
Locations
660 E Eau Gallie Blvd
Ste 106
Indian Harbour Beach, FL 32937
Phone (321) 773-5290
3680 N Wickham Rd
Ste B
Melbourne, FL 32935
Phone (321) 255-5500
5565 N Wickham Rd
Melbourne, FL 32940
Phone (407) 573-3352
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1900 N Alafaya Trl
Ste 900
Orlando, FL 32826
Phone (407) 380-8705
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1457390874
-
- Physical Therapist
- Satellite Beach, FL
- NPI 1689451809
-
- Physical Therapist
- Melbourne, FL
- NPI 1346288974
-
- Physical Therapist
- Melbourne, FL
- NPI 1699713222
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Rehabilitation Clinic/Center
- Titusville, FL
- NPI 1952334153
-
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
-
- Physical Therapist
- Kalaheo, HI
- NPI 1508959339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1154529634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5565 N WICKHAM RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407304",
"telephone_number": "407-573-3352",
"fax_number": "407-573-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3680 N WICKHAM RD STE B",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329352327",
"telephone_number": "321-255-5500",
"fax_number": "321-255-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "TARA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2782",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "9639",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "28732",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT28732",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CO LICENSE",
"identifier": "9639",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "28732",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.