Individual provider Active NPI

William Bryan Fisher, PT

  • Orthopedic Physical Therapist
  • Carpinteria, CA
National Provider Identifier
1346357043
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 20274 Issued in 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
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 20274 CA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040112000580 CA Practitioner - Physical Therapist in Private Practice 7517867740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 4486962867, 4 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 20274CAMDOrthopedic Physical Therapist
20274CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Via Real Physical Therapy Inc. Orthopedic CurrentSince Mar 1, 2007 Accepting new patients
Premier Physical Therapy & Associates Inc CurrentSince Jul 15, 2015 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

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, 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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346357043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 VIA REAL",
            "address_2": "SUITE C",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930131265",
            "telephone_number": "805-566-0600",
            "fax_number": "805-566-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 VIA REAL",
            "address_2": "SUITE C",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930131265",
            "telephone_number": "805-566-0600",
            "fax_number": "805-566-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "WILLIAM",
        "middle_name": "BRYAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 20274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carpinteria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.