Individual provider Active NPI

Taylor Camille Fisher, OT

  • Occupational Therapist
  • Grand Island, NE
National Provider Identifier
1578439667
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3032 Issued in NE
Practice address
929 S Locust St
Grand Island, NE 68801-6751
Phone
(308) 382-9700
Fax
(308) 382-9898
NPI assigned
Oct 15, 2025
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3032 NE Primary

Addresses

Primary practice location

929 S Locust St
Grand Island, NE 68801-6751

Mailing address

929 S Locust St
Grand Island, NE 68801-6751
Phone (308) 382-9700

Other practice location 1

3537 W 13th St Ste 104
Grand Island, NE 68803-3322
Phone (308) 382-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028001055 NE Practitioner - Occupational Therapist in Private Practice 7911496294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Nebraska College of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

929 S Locust St
Grand Island, NE 68801-6751

PO Box
Grand Island, NE 68802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3032NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Physical Therapy CurrentSince Nov 1, 2025 Accepting new patients

Locations

3537 W 13th St
Ste 104
Grand Island, NE 68803
Phone (308) 382-9700

929 S Locust St
Grand Island, NE 68801
Phone (308) 382-9700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1578439667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 S LOCUST ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016751",
            "telephone_number": "308-382-9700",
            "fax_number": "308-382-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 S LOCUST ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016751",
            "telephone_number": "308-382-9700",
            "fax_number": "308-382-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3537 W 13th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688033322",
            "country_code": "US",
            "telephone_number": "308-382-9700",
            "fax_number": "308-382-9898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "TAYLOR",
        "middle_name": "CAMILLE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "3032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.