Active NPI
Toni Leigh Fisher, P.T.
- Pediatric Physical Therapist
- Lawrenceville, GA
National Provider Identifier
1346316015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 006671
- Practice address
- 545 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046-3389 - Phone
- (678) 377-2833
- Fax
- (678) 377-2882
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 006671 | GA | Primary |
Addresses
Primary practice location
545 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046-3389
Mailing address
545 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046-3389
Phone (678) 377-2833
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00857348B | Medicaid | GA | |
| 10037597 | Other | GA | AMERIGROUP PROVIDER # |
| 307941 | Other | GA | WELLCARE PROVIDER # |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Let'S Communicate, Inc | Past | 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.
-
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- Winder, GA
- NPI 1467696393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1346316015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 OLD NORCROSS RD",
"address_2": "STE 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463389",
"telephone_number": "678-377-2833",
"fax_number": "678-377-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 OLD NORCROSS RD",
"address_2": "STE 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463389",
"telephone_number": "678-377-2833",
"fax_number": "678-377-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "TONI",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "006671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00857348B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PROVIDER #",
"identifier": "10037597",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE PROVIDER #",
"identifier": "307941",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.