Bruce Robert Fisher, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131000967 Issued in VA

Practice address

1400 E Crooked Lake Dr
Eustis, FL 32726-5716

Phone

(740) 416-2500

NPI assigned

Feb 7, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1245502111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E CROOKED LAKE DR",
            "address_2": "PO BOX 385",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "32727",
            "telephone_number": "740-416-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E CROOKED LAKE DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265716",
            "telephone_number": "740-416-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BRUCE",
        "middle_name": "ROBERT",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 11284",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C1826",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131000967",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A01886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Findlay Family Practice
• Findley Family Practice PA
• William Daniel Finlayson III, MD
• Justin Richard Finotti, COTA/L
• First Step Therapy LLC
• Jeannette J Fisher
• Florida Department of Health
• Florida First Care, Inc.
• Florida Physical Therapy & Wellness Ctr LLC
• Flower of the Lake Family Practice PA

• Occupational Therapy Assistant in Eustis, FL
• Providers in Eustis, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.