Active NPI
Hymie None Fishenfeld, P.T.
- Physical Therapist
- Aliso Viejo, CA
National Provider Identifier
1568614766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6772
- Practice address
- 41 Evening Light Lane
Aliso Viejo, CA 92656-8033 - Phone
- (949) 349-9499
- Fax
- (949) 349-9498
- NPI assigned
- Oct 21, 2008
- Last updated
- Oct 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | PT6772 | CA | Primary |
Addresses
Primary practice location
41 Evening Light Lane
Aliso Viejo, CA 92656-8033
Mailing address
41 Evening Light LN
Aliso Viejo, CA 92656-8033
Phone (949) 349-9499
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 |
|---|---|---|---|
| PT6772 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1568614766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 EVENING LIGHT LN",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926568033",
"telephone_number": "949-349-9499",
"fax_number": "949-349-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 EVENING LIGHT LANE",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926568033",
"telephone_number": "949-349-9499",
"fax_number": "949-349-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHENFELD",
"first_name": "HYMIE",
"middle_name": "NONE",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT6772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.