Individual provider Active NPI

Lauren M Fisk, PT, MSPT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1235205642
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6279 Issued in AZ
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

Updated by the provider on Jun 6, 2018

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 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 Former name

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

  • Direct secure messaging: 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.

Verify at the official NPI Registry.