Active NPI
Sally Fisher, PT
- Physical Therapist
- Carmichael, CA
National Provider Identifier
1164635181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 12954
- Practice address
- 2540 Carmichael Way
Carmichael, CA 95608-5314 - Phone
- (916) 482-0465
- Fax
- (916) 487-8623
- NPI assigned
- May 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 12954 | CA | Primary |
Addresses
Primary practice location
2540 Carmichael Way
Carmichael, CA 95608-5314
Mailing address
2540 Carmichael Way
Carmichael, CA 95608-5314
Phone (916) 482-0465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 12954 | Other | CA | LICENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 12954 | CA | MD | Physical Therapist |
| 12954 | CA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427846400000",
"number": "1164635181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 CARMICHAEL WAY",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956085314",
"telephone_number": "916-482-0465",
"fax_number": "916-487-8623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 CARMICHAEL WAY",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956085314",
"telephone_number": "916-482-0465",
"fax_number": "916-487-8623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "SALLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2015-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 12954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PT 12954",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.