Individual provider Active NPI

Kenneth Garrett Fischer, DPT

  • Physical Therapist
  • Sandpoint, ID
National Provider Identifier
1235655523
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5348 Issued in ID
Practice address
606 N Fifth Ave
Sandpoint, ID 83864-1520
Phone
(208) 297-1570
NPI assigned
Aug 17, 2017
Last updated
Apr 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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 PT5348 ID Primary

Addresses

Primary practice location

606 N Fifth Ave
Sandpoint, ID 83864-1520

Mailing address

606 N Fifth Ave
Sandpoint, ID 83864-1520
Phone (208) 297-1570

Other names 1

  • K. Garrett Fischer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927002001 ID Practitioner - Physical Therapist in Private Practice 2163796350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

606 N 5TH Ave
Sandpoint, ID 83864-1520
Phone (208) 297-1570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5348IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Selkirk Physical Therapy, PC Physical Therapist CurrentSince Feb 15, 2025 Accepting new patients
Kauai in-Home Therapy LLC CurrentSince Dec 17, 2018 Accepting new patients
Action Point Physical Therapy LLC Physical Therapist CurrentSince Jun 14, 2023 Accepting new patients

Locations

30544 Highway 200
Ponderay, ID 83852
Phone (208) 205-9559

2605 N Boyer Ave
Sandpoint, ID 83864
Phone (208) 263-3100

606 N Fifth Ave
Sandpoint, ID 83864
Phone (208) 284-3597

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1235655523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N FIFTH AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641520",
            "telephone_number": "208-297-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N FIFTH AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641520",
            "telephone_number": "208-297-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KENNETH",
        "middle_name": "GARRETT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT5348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K. GARRETT",
            "last_name": "FISCHER",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.