Michelle Ann Fisher, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1292 Issued in ID

Practice address

4079 Tongass Ave
Suite 102
Ketchikan, AK 99901

Phone

(907) 225-7808

Fax

(907) 247-7868

NPI assigned

Feb 4, 2008

Reactivated

Mar 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Michelle Ann Fisher-Rothery Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optimum Health and Wellness Physical Therapy, Inc.

  • Physical Therapist
  • Ketchikan, AK
  • NPI 1649577578
  NPD

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1376721118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4079 TONGASS AVE",
            "address_2": "SUITE 102",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "99901",
            "telephone_number": "907-225-7808",
            "fax_number": "907-247-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4079 TONGASS AVE",
            "address_2": "SUITE 102",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "99901",
            "telephone_number": "907-225-7808",
            "fax_number": "907-247-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "deactivation_date": "2019-09-25",
        "reactivation_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "FISHER-ROTHERY",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Glen A Fazakerley, CDCI
• Raquelle Elizabeth Felder
• Karen Fellowes
• Amauri L Fernandez
• First City Medicine LLC
• Michael Fitzgerald
• May Ann Felarca Flood
• Amy Footit
• Paul Forrester
• Deborah K Freysinger, CRNA

• Chiropractor in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.