Individual provider Active NPI

Terry L Pruett-Fisher, P.T.

  • Physical Therapist
  • Carlisle, PA
National Provider Identifier
1629099965
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002055E Issued in PA
Practice address
1 Tyler CT
Suite 200
Carlisle, PA 17013-7913
Phone
(717) 245-2341
Fax
(717) 245-9672
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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 PT002055E PA Primary

Addresses

Primary practice location

1 Tyler CT
Suite 200
Carlisle, PA 17013-7913

Mailing address

1 Tyler CT
Suite 200
Carlisle, PA 17013-7913
Phone (717) 245-2341

Other identifiers 1

IdentifierTypeStateIssuer
506259OtherPABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180502001498 PA Practitioner - Physical Therapist in Private Practice 3476817255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Plus Pelvic Therapy LLCGroup PAC ID 2668626912, 4 clinicians

Practice addresses (Care Compare)

11 Flowers Dr
Suite 101
Mechanicsburg, PA 17050-1714
Phone (717) 691-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT002055EPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Apr 12, 2018 Accepting new patients
PHS Physical Therapy, LLC CurrentSince Apr 12, 2018 Accepting new patients
Core Plus Pelvic Therapy LLC Physical Therapist CurrentSince Jun 27, 2018 Accepting new patients
Alexander Spring Rehab, Inc Physical Therapist Past Accepting new patients

Locations

417 Village Dr
Ste 4
Carlisle, PA 17015
Phone (717) 240-0249

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

6108 Carlisle Pike
#27041
Mechanicsburg, PA 17050
Phone (717) 591-9118

11 Flowers Dr
Ste 101
Mechanicsburg, PA 17050
Phone (717) 571-1050

Organizations & group practices 4

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1629099965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TYLER CT",
            "address_2": "SUITE 200",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170137913",
            "telephone_number": "717-245-2341",
            "fax_number": "717-245-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TYLER CT",
            "address_2": "SUITE 200",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170137913",
            "telephone_number": "717-245-2341",
            "fax_number": "717-245-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT-FISHER",
        "first_name": "TERRY",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002055E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "506259",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.