Active NPI
Emily Nicole Fisher, PTA
- Physical Therapy Assistant
- Youngstown, OH
National Provider Identifier
1154931368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA012541
- Practice address
- 1216 5TH Ave
Youngstown, OH 44504-1605 - Phone
- (307) 262-9443
- NPI assigned
- Aug 3, 2020
- 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 Therapy Assistant | 225200000X | PTA012541 | OH | Primary |
Addresses
Primary practice location
1216 5TH Ave
Youngstown, OH 44504-1605
Mailing address
12 N Crandon Ave Apt 6
Niles, OH 44446-3447
Phone (330) 301-9136
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 |
|---|---|---|---|
| PTA012541 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1154931368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 N CRANDON AVE APT 6",
"city": "NILES",
"state": "OH",
"postal_code": "444463447",
"telephone_number": "330-301-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 5TH AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041605",
"telephone_number": "307-262-9443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "EMILY",
"middle_name": "NICOLE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA012541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.