Individual provider Active NPI

Ann-Marie Hall-Fiske, BS, MED., PT

  • Physical Therapist
  • La Jolla, CA
National Provider Identifier
1205930591
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11786 Issued in CA
Practice address
3350 La Jolla Village Drive
La Jolla, CA 92161
Phone
(858) 552-8585
NPI assigned
Sep 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 11786 CA Primary

Addresses

Primary practice location

3350 La Jolla Village Drive
La Jolla, CA 92161

Mailing address

7514 Girard Ave.
Ste. 1 PMB 209
La Jolla, CA 92037

Other practice location 1

4100 Normal St
San Diego, CA 92103-2653
Phone (619) 725-5501

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
Credentials
Bachelor of Science, Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Goodwin Rehab Enterprises, Inc. Physical Therapist CurrentSince Apr 30, 2012 Accepting new patients
Prime Care Therapeutic Services Inc. Physical Therapist Past Accepting new patients

Locations

2648 Main St
Ste Bc
Chula Vista, CA 91911
Phone (619) 246-2539

905 W Main St
Ste G
El Cajon, CA 92020
Phone (619) 441-5962

905 W Main St
Ste Ae
El Cajon, CA 92020
Phone (619) 441-9922

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1205930591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 GIRARD AVE.",
            "address_2": "STE. 1 PMB 209",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DRIVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92161",
            "telephone_number": "858-552-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Normal St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032653",
            "country_code": "US",
            "telephone_number": "619-725-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL-FISKE",
        "first_name": "ANN-MARIE",
        "name_prefix": "Ms.",
        "credential": "BS, MED., PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "11786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.