Active NPI
T Y Fisher, MS, ATC, LAT
- Athletic Trainer
- Danville, KY
National Provider Identifier
1346606274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT500
- Practice address
- 600 W Walnut St
Danville, KY 40422-1309 - Phone
- (859) 238-5498
- NPI assigned
- Jan 7, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT500 | KY | Primary |
Addresses
Primary practice location
600 W Walnut St
Danville, KY 40422-1309
Mailing address
600 W Walnut St
Danville, KY 40422-1309
Phone (859) 238-5498
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT500 | KY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1346606274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W WALNUT ST",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404221309",
"telephone_number": "859-238-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W WALNUT ST",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404221309",
"telephone_number": "859-238-5498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "T",
"middle_name": "Y",
"credential": "MS, ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-07",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KY",
"license": "AT500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.