Kyle Fisher, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

30567 Issued in FL

Practice address

4650 Wycliffe Country Club Blvd
Lake Worth, FL 33449-8151

Phone

(561) 472-6537

NPI assigned

Aug 17, 2015

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cherokee Indian Hospital Authority

  • General Acute Care Hospital
  • Cherokee, NC
  • NPI 1770662348

  TX

  Medicare reassignment NPD
• Cherokee Indian Hospital Authority

  • Methadone Clinic
  • Cherokee, NC
  • NPI 1295336386
  NPD
• Cherokee Indian Hospital Authority

  • Health Service Clinic/Center
  • Cherokee, NC
  • NPI 1396021200
  NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Lake Worth, FL
  • NPI 1669556874
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)
• Cherokee Indian Hospital Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cherokee, NC
  • NPI 1588840318
  NPD (past)

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1194191924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 WESTWOOD RD",
            "address_2": "GARAGE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017934",
            "telephone_number": "561-317-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 WYCLIFFE COUNTRY CLUB BLVD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334498151",
            "telephone_number": "561-472-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KYLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "30567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Finnish American Rest Home, Inc
• Finnish American Rest Home, Inc.
• First Choice Companion Services LLC
• First Class Medicine LLC
• First Health Chiropractic Group Inc
• Madeline Fisher
• Fishermen'S Way LLC
• Paula Natalia Fistein, LMHC
• Five Star Medical Group Inc
• Eileen M Flanagan, P.A.

• Orthopedic Physical Therapist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.