Michael Fisher, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT32946 Issued in FL

Practice address

4655 66TH St N
Kenneth City, FL 33709-4827

Phone

(727) 546-4700

Fax

(727) 549-8109

NPI assigned

Sep 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles (2 of 4)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Sports and Orthopedic Rehabilitation Services Inc

  • Physical Therapy Clinic/Center
  • Riverview, FL
  • NPI 1841981073
  NPD (past)
• Rehabclinics SPT Inc

  • Physical Therapist
  • Eldersburg, MD
  • NPI 1164427092
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1366960932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 66TH ST N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337094827",
            "telephone_number": "727-546-4700",
            "fax_number": "727-549-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 66TH ST N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337094827",
            "telephone_number": "727-546-4700",
            "fax_number": "727-549-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT32946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeri Devale, PH.D
• Madhuri Duggirala
• Shamik Dwivedi, D.O., M.P.H.
• Eckerds Pharmacy LLC
• Eckerds Pharmacy LLC
• Kristi A Fitzmorris, MD
• Seth Edward Fricks, PHARMD
• Roopa Ganga, M.D.
• Susannah B Gariepy, AU.D.
• Lawrence Earl Geiger III, MS, CCC-SLP

• Physical Medicine & Rehabilitation Physician in Kenneth City, FL
• Providers in Kenneth City, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.