Individual provider Active NPI

Keith Fischer, P.T.

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1487633715
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6936 Issued in AZ
Practice address
5545 E Broadway Blvd Ste 113
Tucson, AZ 85711-3843
Phone
(520) 372-2724
Fax
(520) 844-9950
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6936 AZ Primary

Addresses

Primary practice location

5545 E Broadway Blvd Ste 113
Tucson, AZ 85711-3843

Mailing address

4850 E Baseline Rd Ste 114
Mesa, AZ 85206-4626
Phone (480) 396-2781

Other practice location 1

1360 W Irvington Rd Ste 280
Tucson, AZ 85746-4112
Phone (520) 372-2724

Other identifiers 1

IdentifierTypeStateIssuer
970310MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070125000399 AZ Practitioner - Physical Therapist in Private Practice 8224039789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arenson Wasserbeck LLCGroup PAC ID 8426032061, 10 clinicians

Practice addresses (Care Compare)

4850 E Baseline Rd
Suite 114
Mesa, AZ 85206-4626
Phone (480) 396-2781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6936AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aw Broadway and Craycroft, LLC Physical Therapist CurrentSince Nov 12, 2023 Accepting new patients
Arenson Wasserbeck LLC Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Physical Therapist Past Accepting new patients

Locations

120 W Highway 287
Ste 2
Florence, AZ 85132
Phone (480) 684-4728

120 W Highway 287
Florence, AZ 85132
Phone (954) 275-7026

4850 E Baseline Rd
Ste 114
Mesa, AZ 85206
Phone (480) 396-2781

1360 W Irvington Rd
Ste 280
Tucson, AZ 85746
Phone (520) 372-2724

1360 W Irvington Rd
Ste 260
Tucson, AZ 85746

1605 E River Rd
Ste 201
Tucson, AZ 85718
Phone (520) 372-2724

5545 E Broadway Blvd
Ste 113
Tucson, AZ 85711
Phone (520) 372-2714

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1487633715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 E BASELINE RD STE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064626",
            "telephone_number": "480-396-2781",
            "fax_number": "480-854-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 E BROADWAY BLVD STE 113",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113843",
            "telephone_number": "520-372-2724",
            "fax_number": "520-844-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 W Irvington Rd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857464112",
            "country_code": "US",
            "telephone_number": "520-372-2724",
            "fax_number": "520-844-9950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KEITH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "970310",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.