Individual provider Active NPI

William P Fisher Jr., PHYSICAL THERAPY

  • Physical Therapist
  • Vineland, NJ
National Provider Identifier
1194900456
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00163900 Issued in NJ
Practice address
2848 S Delsea Dr
BLDG #3
Vineland, NJ 08360
Phone
(856) 696-0404
Fax
(856) 696-8555
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00163900 NJ Primary

Addresses

Primary practice location

2848 S Delsea Dr
BLDG #3
Vineland, NJ 08360

Mailing address

232 Laurel Heights Dr
BLDG #4
Bridgeton, NJ 08302-3634
Phone (856) 455-9730

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

LicenseStateTypeSpecialty
40QA00163900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay-Sea Physical Therapy of Bridgeton PA Physical Therapist Past Accepting new patients
Bay-Sea Physical Therapy of Vineland PA Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1194900456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 LAUREL HEIGHTS DR",
            "address_2": "BLDG #4",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023634",
            "telephone_number": "856-455-9730",
            "fax_number": "856-455-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 S DELSEA DR",
            "address_2": "BLDG #3",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-696-0404",
            "fax_number": "856-696-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00163900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.