Tara Fisher DPT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TARA FISHER DPT LLC

Practice address

219 Ellwood Ave
Satellite Beach, FL 32937-3130

Phone

(303) 598-9874

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tara Fisher, DPTNPI 1154529634

Title

Owner, Physical Therapist

Phone

(303) 598-9874

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Fisher, DPT

  • Orthopedic Physical Therapist
  • Melbourne, FL
  • NPI 1154529634
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1689451809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 ELLWOOD AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 ELLWOOD AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373130",
            "telephone_number": "303-598-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA FISHER DPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "303-598-9874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.