Active NPI
Marcella Fisher, PT
- Orthopedic Physical Therapist
- Eugene, OR
National Provider Identifier
1659371961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1594
- Practice address
- 55 Coburg Rd
Eugene, OR 97401-2433 - Phone
- (541) 485-8111
- Fax
- (541) 868-0883
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1594 | OR | Primary |
Addresses
Primary practice location
55 Coburg Rd
Eugene, OR 97401-2433
Mailing address
55 Coburg Rd
Eugene, OR 97401-2433
Phone (541) 485-8111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 298583 | Medicaid | OR | |
| 650016202 | Other | OR | MC RAILROAD |
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 |
|---|---|---|---|
| 1594 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1659371961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 COBURG RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012433",
"telephone_number": "541-485-8111",
"fax_number": "541-868-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 COBURG RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012433",
"telephone_number": "541-485-8111",
"fax_number": "541-868-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MARCELLA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "1594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "298583",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC RAILROAD",
"identifier": "650016202",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.