Individual provider Active NPI

Daniel Fisher, PT

  • Physical Therapist
  • Torrington, CT
National Provider Identifier
1720058076
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007189 Issued in CT
Practice address
1933 E Main St
Torrington, CT 06790-3102
Phone
(959) 901-0640
Fax
(959) 901-0641
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 007189 CT Primary

Addresses

Primary practice location

1933 E Main St
Torrington, CT 06790-3102

Mailing address

1933 E Main St
Torrington, CT 06790-3102
Phone (959) 901-0640

Other practice location 1

181 Patricia Genova Drive
Eastern Rehabilitation Network 5th Floor
Newington, CT 06111
Phone (860) 667-5449

Other identifiers 1

IdentifierTypeStateIssuer
004225159MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124002695 CT Practitioner - Physical Therapist in Private Practice 5294227542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ptsma IncGroup PAC ID 7911800180, 173 clinicians

Practice addresses (Care Compare)

1933 E Main St
Torrington, CT 06790-3102
Phone (959) 901-0640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007189CTMDPhysical Therapist
7189CTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma Inc CurrentSince Nov 3, 2025 Accepting new patients
Ptsma, Inc. Physical Therapist Current Accepting new patients
Ptsma, Inc. CurrentSince Nov 3, 2025 Accepting new patients
Eastern Rehabilitation Network Headache Clinic Physical Therapist Past Accepting new patients

Locations

37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919

1933 E Main St
Torrington, CT 06790
Phone (959) 901-0640

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1720058076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 E MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903102",
            "telephone_number": "959-901-0640",
            "fax_number": "959-901-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 E MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903102",
            "telephone_number": "959-901-0640",
            "fax_number": "959-901-0641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Patricia Genova Drive",
            "address_2": "Eastern Rehabilitation Network 5th Floor",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "06111",
            "country_code": "US",
            "telephone_number": "860-667-5449",
            "fax_number": "860-667-8416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DANIEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004225159",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.