Individual provider Active NPI

Ronald J Fischer, PT, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1275939993
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11269 Issued in AZ
Practice address
3700 N 24TH St
Ste 230
Phoenix, AZ 85016-6534
Phone
(602) 903-4383
Fax
(480) 782-5213
NPI assigned
Nov 6, 2014
Last updated
Nov 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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 11269 AZ Primary

Addresses

Primary practice location

3700 N 24TH St
Ste 230
Phoenix, AZ 85016-6534

Mailing address

3700 N 24TH St
Ste 230
Phoenix, AZ 85016-6534
Phone (602) 903-4383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150205002075 AZ Practitioner - Physical Therapist in Private Practice 4486979887 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
360 Physical Therapy LLC CurrentSince Nov 6, 2014 Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Nov 6, 2014 Accepting new patients
Orthopedic Therapy and Wellness, PLLC CurrentSince Jan 29, 2024 Accepting new patients
Orthopedic Therapy and Wellness, PLLC Current Accepting new patients
Orthopedic Therapy and Wellness CurrentSince Jan 29, 2024 Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients

Locations

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

3700 N 24th St
Ste 230
Phoenix, AZ 85016
Phone (602) 903-2343

4302 E Ray Rd
Ste 105
Phoenix, AZ 85044
Phone (480) 597-4241

2525 S Rural Rd
Ste 5S
Tempe, AZ 85282
Phone (480) 921-9000

Organizations & group practices 6

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": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1275939993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST",
            "address_2": "STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166534",
            "telephone_number": "602-903-4383",
            "fax_number": "480-782-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST",
            "address_2": "STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166534",
            "telephone_number": "602-903-4383",
            "fax_number": "480-782-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.