Russell Edward Fisher Jr.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

161335894 Issued in WA

Practice address

733 7TH Ave Ste 110
Kirkland, WA 98033-5657

Phone

(206) 717-8161

NPI assigned

Nov 10, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1174397004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29033 229TH AVE SE",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "980101249",
            "telephone_number": "971-439-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 7TH AVE STE 110",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335657",
            "telephone_number": "206-717-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "RUSSELL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "161335894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Fischer
• Howard Fischer
• Erika Nicole Fisher, LICSW
• Jenine R Fisher, L.M.P.
• Krystal Lyn Fisher
• Virginia Fisher
• Anna Fitzgerald, DPT
• Riane Fitzgerald
• Brenda L. Flake, MD
• Tanya Flanagin

• Physical Therapy Assistant in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.