Active NPI
Keri Elyse Fisher, PT, DPT, NCS
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1336268697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023830
- Practice address
- 618 7TH Ave
Brooklyn, NY 11215-6833 - Phone
- (516) 857-7771
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 023830 | NY | Primary |
| Neurology Physical Therapist | 2251N0400X | 023830 | NY |
Addresses
Primary practice location
618 7TH Ave
Brooklyn, NY 11215-6833
Mailing address
618 7TH Ave
Brooklyn, NY 11215-6833
Phone (516) 857-7771
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
| License | State | Type | Specialty |
|---|---|---|---|
| 023830 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurological Physical Therapy of Nyc, PLLC | Current | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1164004545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1336268697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 7TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112156833",
"telephone_number": "516-857-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 7TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112156833",
"telephone_number": "516-857-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "KERI",
"middle_name": "ELYSE",
"credential": "PT, DPT, NCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023830",
"primary": true
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NY",
"license": "023830",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.