Lyle Wayne Fisher

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33427 Issued in FL

Practice address

11947 Southern Blvd
Royal Palm Beach, FL 33411

Phone

(561) 204-2213

Fax

(561) 204-2218

NPI assigned

May 30, 2018

Last updated

Jul 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1790277473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11947 SOUTHERN BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117619",
            "telephone_number": "561-204-2213",
            "fax_number": "561-204-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11947 SOUTHERN BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-204-2213",
            "fax_number": "561-204-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "LYLE",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "089421",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1295006",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meily Fernandez Morales
• Salvador Fernandez, DC
• Yadira S Ferran Pineda
• Jeniffer Fiallo Garcia, APRN, FNP-BC
• Roxana Figueroa Garcia
• Molly Anne Fitzgibbon
• Nathaniel P Fleischner, M.D.
• Janelle Flemming
• Shella Fleurisma Morisset
• Florida Imaging, LLC

• Physical Therapist in Royal Palm Beach, FL
• Providers in Royal Palm 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 Jul 23, 2018; 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.