Individual provider Active NPI

Amy Fischer

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1285826206
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24777 Issued in CA
Practice address
210 Newport Center Dr
Suite 3
Newport Beach, CA 92660-7530
Phone
(949) 249-2456
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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 PT24777 CA Primary

Addresses

Primary practice location

210 Newport Center Dr
Suite 3
Newport Beach, CA 92660-7530

Mailing address

30301 Golden Lantern
Suite B
Laguna Niguel, CA 92677-5990
Phone (949) 249-2456

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

State licenses

LicenseStateTypeSpecialty
24777CAMDEmergency Medicine Physician
PT24777CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Body Rehabilitation Inc CurrentSince Mar 25, 2015 Accepting new patients

Locations

30301 Golden Lantern
Ste B
Laguna Niguel, CA 92677
Phone (949) 249-2456

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1285826206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30301 GOLDEN LANTERN",
            "address_2": "SUITE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775990",
            "telephone_number": "949-249-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NEWPORT CENTER DR",
            "address_2": "SUITE 3",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607530",
            "telephone_number": "949-249-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.