Fischer Sports Therapy

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0076 Issued in AZ

Legal business name

FISCHER SPORTS THERAPY

Practice address

4050 E Cotton Center Blvd
Suite 60
Phoenix, AZ 85040-8861

Phone

(602) 437-5055

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Terry McKenney, ATC, CSCS

Title

Athletic Trainer

Phone

(602) 437-5055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639211519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 E COTTON CENTER BLVD",
            "address_2": "SUITE 60",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408861",
            "telephone_number": "602-437-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 E COTTON CENTER BLVD",
            "address_2": "SUITE 60",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408861",
            "telephone_number": "602-437-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISCHER SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKENNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "ATHLETIC TRAINER",
        "authorized_official_telephone_number": "602-437-5055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firstat Home Health Services, LLC
• Firstgen Financial Solutions
• Christine E Firth, M.D.
• Jaron Joseph Fischbeck, MD
• Tucker Ross Fischbeck, DO
• Angela C Fischer, LPC
• Brenton Jay Fischer, PT ATC CSCS
• Derek D Fischer, D.C.
• Jo-Ellen Ochoa Fischer, RN
• Kim Fischer, CPO

• Athletic Trainer in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.