Susan E Fisher, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0004070 Issued in DE

Practice address

1401 Foulk Rd Ste 203
Wilmington, DE 19803-2764

Phone

(302) 992-8351

NPI assigned

Aug 19, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Susan E Dake Former name

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Therapy Services LLCGroup PAC ID 0749283083, 99 clinicians

Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.27 of 100Reported as group

Quality

85

Promoting interoperability

99

Improvement activities

40

Cost

73.4

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.

• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  Medicare reassignment Care Compare group NPD
• Dynamic Therapy Services LLC

  • Physical Therapist
  • Seaford, DE
  • NPI 1205875093
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1386043032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "803-812-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOULK RD STE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032764",
            "telephone_number": "302-992-8351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Lime St Ste A",
            "address_purpose": "LOCATION",
            "city": "Quarryville",
            "state": "PA",
            "postal_code": "175661233",
            "country_code": "US",
            "telephone_number": "717-786-8053",
            "fax_number": "717-614-1035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023871",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0004070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DAKE",
            "middle_name": "E",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Scott Fisher, MD
• Irene Fisher, PSY.D.
• Mark Fisher, R.N.
• Phoebe Driscoll Fisher, MD
• Rachel Sara Fisher, PHD
• Keith Frank Fishlock, APN
• Nadine Niziolek Fiske, APN
• Mark R Fiss, D.M.D., M.S.
• Thomas W Fiss, MD
• Ashley Kathryn Fitt

• Physical Therapist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.