William Bryan Fisher – Orthopedic Physical Therapist

Key facts

NPI: 1346357043
Entity type: Individual (NPI type 1)
Primary specialty: Orthopedic Physical Therapist 2251X0800X
License: PT 20274 (CA)
Practice address: 4180 Via Real
Suite C
Carpinteria, CA 93013-1265
Phone: (805) 566-0600
Fax: (805) 566-0637
NPI assigned: Aug 25, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 2

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.

Premier Physical Therapy & Associates Inc Physical Therapist · Moorpark, CA · NPI 1902208507

Medicare reassignment Care Compare group NPD CA
Via Real Physical Therapy Inc. Physical Therapist · Carpinteria, CA · NPI 1598984213

Medicare reassignment NPD CA · ORTHOPEDIC

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 1994
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Premier Physical Therapy and Associates Inc (4 clinicians)

Practice addresses (Care Compare)

1160 N Ventura Rd
Oxnard, CA 93030-3802
Phone (805) 604-9300

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20040112000580	CA	Practitioner - Physical Therapist in Private Practice	7517867740	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
20274	CA	MD	Dentist
PT 20274	CA	MD	Orthopedic Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Premier Physical Therapy & Associates Inc		Current since Jul 15, 2015	Accepting new patients
Via Real Physical Therapy Inc.	Orthopedic	Current since Mar 1, 2007	Accepting new patients

Locations

4180 Via Real
Ste C
Carpinteria, CA 93013
Phone (805) 566-0600

5432 Carpinteria Ave
#34
Carpinteria, CA 93013

6591 Collins Dr
Ste E8
Moorpark, CA 93021
Phone (805) 517-0151

1160 N Ventura Rd
Oxnard, CA 93030
Phone (805) 604-9300

1601 S Victoria Ave
Ste 200
Oxnard, CA 93035

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Orthopedic Physical Therapist	2251X0800X	PT 20274	CA	Yes

Addresses

Primary practice location

4180 Via Real
Suite C
Carpinteria, CA 93013-1265

Mailing address

4180 Via Real
Suite C
Carpinteria, CA 93013-1265
Phone (805) 566-0600

Other providers in Carpinteria, CA

William Jay Edelstein, M.D.
Todd William Engstrom, MD
Family Service Agency of Santa Barbara County
Christian Lewis Feist, LMFT, 137730
Molly Mitchell-Hardt Field, LMFT
Brandi Fletcher, LPT
Citlaly Flores-Alvarado
Omar Renato Flores, DPT
Jordyn Frazier
Dylan Joseph Fredrickson, PT, DPT

All providers in Carpinteria, CA · Orthopedic Physical Therapist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.