Individual provider Active NPI

John Vincent Fisher, M.S., OTR, CHT

  • Occupational Therapist
  • Salem, OR
National Provider Identifier
1720257389
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
916213 Issued in OR
Practice address
2561 Center St NE
Salem, OR 97301-4600
Phone
(503) 561-6972
Fax
(503) 561-4690
NPI assigned
Feb 27, 2008
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 916213 OR Primary

Addresses

Primary practice location

2561 Center St NE
Salem, OR 97301-4600

Mailing address

2561 Center St NE
Salem, OR 97301-4600
Phone (503) 561-6972

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
916213ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health West Valley CurrentSince May 1, 2020 Accepting new patients
Salem Health CurrentSince May 1, 2020 Accepting new patients
Salem Health CurrentSince May 1, 2020 Accepting new patients

Locations

1000 SE Uglow Ave
Dallas, OR 97338
Phone (503) 623-8376

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

2561 Center St NE
Salem, OR 97301
Phone (503) 561-5902

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1720257389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014600",
            "telephone_number": "503-561-6972",
            "fax_number": "503-561-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014600",
            "telephone_number": "503-561-6972",
            "fax_number": "503-561-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JOHN",
        "middle_name": "VINCENT",
        "credential": "M.S., OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "916213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.