Jennifer Fisk, MS, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2381 Issued in AR

Practice address

810 W Markham St
Little Rock, AR 72201-1306

Phone

(501) 447-1000

NPI assigned

Jun 10, 2008

Last updated

Jun 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Little Rock School Districet

  • Local Education Agency (LEA)
  • Little Rock, AR
  • NPI 1922258904
  NPD (past)
• Little Rock School District

  • Local Education Agency (LEA)
  • Little Rock, AR
  • NPI 1053455691
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1710147111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 INVERNESS CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122905",
            "telephone_number": "501-307-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722011306",
            "telephone_number": "501-447-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISK",
        "first_name": "JENNIFER",
        "credential": "MS, P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "2381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Ann Fisher
• Jessica Susan Fisher, MHPP
• June Ritchey Fisher, LMFT
• Rebekah Fisher
• Samantha Leann Fisher, LCSW
• Tim M Fisk, SLP
• Ruth Elizabeth Fissel, L.C.S.W.
• Jessica Ann Fister
• Fit Mind Incorporated
• Porsche Fitch

• Pediatric Physical Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pediatric Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.