Active NPI
Paul A Fisher, PT
- Physical Therapist
- La Crosse, WI
National Provider Identifier
1376528778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5188
- Practice address
- 800 West Ave S
La Crosse, WI 54601 - Phone
- (608) 785-0940
- NPI assigned
- Dec 8, 2005
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5188 | WI | Primary |
Addresses
Primary practice location
800 West Ave S
La Crosse, WI 54601
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (608) 785-0940
Other practice location 1
700 West Ave S
Attn Physician Services
La Crosse, WI 54601-4783
Phone (608) 785-0940
Other practice location 2
700 West Ave S
Attn Physician Services
La Crosse, WI 54601-4783
Phone (608) 785-0940
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pfisher25974@ehrdirect.mayoclinicmsg.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5188 | WI | MD | Speech-Language Pathologist |
Interoperability endpoints
- pfisher25974@ehrdirect.mayoclinicmsg.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1376528778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547021510",
"telephone_number": "608-785-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WEST AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "54601",
"telephone_number": "608-785-0940"
}
],
"practiceLocations": [
{
"address_1": "700 West Ave S",
"address_2": "Attn Physician Services",
"address_purpose": "LOCATION",
"city": "La Crosse",
"state": "WI",
"postal_code": "546014783",
"country_code": "US",
"telephone_number": "608-785-0940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 West Ave S",
"address_2": "Attn Physician Services",
"address_purpose": "LOCATION",
"city": "La Crosse",
"state": "WI",
"postal_code": "546014783",
"country_code": "US",
"telephone_number": "608-785-0940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHER",
"first_name": "PAUL",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5188",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pfisher25974@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "800 West Ave S",
"city": "LA Crosse",
"state": "WI",
"country_code": "US",
"postal_code": "54601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.