Active NPI
Lauren M Fisk, PT, MSPT
- Physical Therapist
- Gilbert, AZ
National Provider Identifier
1235205642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6279
- Practice address
- 235 E Warner Rd
Suite B104
Gilbert, AZ 85296-2972 - Phone
- (480) 633-3151
- Fax
- (480) 383-6076
- NPI assigned
- Nov 28, 2006
- 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 | 6279 | AZ | Primary |
Addresses
Primary practice location
235 E Warner Rd
Suite B104
Gilbert, AZ 85296-2972
Mailing address
235 E Warner Rd
Ste B104
Gilbert, AZ 85296-2972
Phone (480) 633-3151
Other names 1
- Lauren E May
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
Interoperability endpoints
- lauren.fisk.1@33482.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1235205642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 E WARNER RD",
"address_2": "STE B104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852962972",
"telephone_number": "480-633-3151",
"fax_number": "480-383-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E WARNER RD",
"address_2": "SUITE B104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852962972",
"telephone_number": "480-633-3151",
"fax_number": "480-383-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISK",
"first_name": "LAUREN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PT, MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "6279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "MAY",
"middle_name": "E",
"credential": "PT, MSPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.