Active NPI
Dusty L Fiester, PT
- Physical Therapist
- Evansville, IN
National Provider Identifier
1154581296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007328A
- Practice address
- 520 Mary St
Ste. 520
Evansville, IN 47747-0001 - Phone
- (812) 450-3353
- Fax
- (812) 450-7497
- NPI assigned
- Jun 12, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05007328A | IN | Primary |
Addresses
Primary practice location
520 Mary St
Ste. 520
Evansville, IN 47747-0001
Mailing address
PO Box 6890
Evansville, IN 47719-0890
Phone (812) 491-3856
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 |
|---|---|---|---|
| 05007328A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Compression, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Evansville, IN
- NPI 1417672411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1154581296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6890",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477190890",
"telephone_number": "812-491-3856",
"fax_number": "812-491-1269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MARY ST",
"address_2": "STE. 520",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477470001",
"telephone_number": "812-450-3353",
"fax_number": "812-450-7497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIESTER",
"first_name": "DUSTY",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007328A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.