Active NPI
Peter Ross Fisher, B.APP.SCI.(PT), MA
- Pediatric Physical Therapist
- New York, NY
National Provider Identifier
1356596209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 022571-1
- Practice address
- 37 Nagle Ave
Apt. 6E
New York, NY 10040-1422 - Phone
- (646) 239-0269
- NPI assigned
- Nov 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 022571-1 | NY | Primary |
Addresses
Primary practice location
37 Nagle Ave
Apt. 6E
New York, NY 10040-1422
Mailing address
37 Nagle Ave
Apt. 6E
New York, NY 10040-1422
Phone (646) 239-0269
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022571-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1356596209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 NAGLE AVE",
"address_2": "APT. 6E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100401422",
"telephone_number": "646-239-0269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 NAGLE AVE",
"address_2": "APT. 6E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100401422",
"telephone_number": "646-239-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "PETER",
"middle_name": "ROSS",
"name_prefix": "Mr.",
"credential": "B.APP.SCI.(PT), MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-19",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "022571-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.