Active NPI
Janice Fisher, M.S., PT, ATP
- Physical Therapist
- Glen Burnie, MD
National Provider Identifier
1174656516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18347
- Practice address
- 1450 Furnace Ave
Glen Burnie, MD 21060-7002 - Phone
- (410) 222-6911
- NPI assigned
- Mar 14, 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 | 18347 | MD | Primary |
Addresses
Primary practice location
1450 Furnace Ave
Glen Burnie, MD 21060-7002
Mailing address
609 Forest Hill Dr
Annapolis, MD 21403-3818
Phone (443) 951-1438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5388 | Medicaid | MD |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18347 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174656516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 FOREST HILL DR",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214033818",
"telephone_number": "443-951-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 FURNACE AVE",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210607002",
"telephone_number": "410-222-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JANICE",
"credential": "M.S., PT, ATP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5388",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.