Individual provider Active NPI

Heather Sharon Fisch

  • Physical Therapist
  • Point Pleasant Boro, NJ
National Provider Identifier
1619446648
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1104 Arnold Ave
Point Pleasant Boro, NJ 08742-2311
Phone
(732) 714-0070
Fax
(732) 714-0188
NPI assigned
Nov 20, 2018
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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 NU Primary

Addresses

Primary practice location

1104 Arnold Ave
Point Pleasant Boro, NJ 08742-2311

Mailing address

55 Huntington Dr
Jackson, NJ 08527-4482

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102002039 NJ Practitioner - Physical Therapist in Private Practice 3072858505 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Surgery Associates LLC CurrentSince Sep 27, 2021 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients
Spine & Sports Medicine of Toms River, LLC Physical Therapist CurrentSince Jan 14, 2019 Accepting new patients
Spine & Sports Medicine of Lincroft, LLC Physical Therapist CurrentSince Sep 27, 2021 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

461 Main St
Chatham, NJ 07928
Phone (973) 635-1000

5 Swimming River Rd
Lincroft, NJ 07738
Phone (732) 451-4578

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

367 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 473-0158

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

Organizations & group practices 5

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1619446648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HUNTINGTON DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 ARNOLD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422311",
            "telephone_number": "732-714-0070",
            "fax_number": "732-714-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCH",
        "first_name": "HEATHER",
        "middle_name": "SHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.