Scott Fisher
Organization Active NPI Durable Medical Equipment & Medical Supplies · Bainbridge, NY
NPI 1790969855 · NPPES record last updated Jul 22, 2008
Key facts
- NPI
- 1790969855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- C16086 (NY)
- Legal business name
- SCOTT FISHER
- Practice address
- 231 Co. Hwy 1
Bainbridge, NY 13733 - Phone
- (607) 433-0829
- Fax
- (607) 433-0829
- NPI assigned
- Dec 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Scott Alan Fisher, CF, PTA
- Title
- Owner
- Phone
- (607) 433-0829
Practitioners 1
-
Scott Alan Fisher, PTA CF
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | C16086 | NY | Yes |
| Prosthetic/Orthotic Supplier | 335E00000X | C16086 | NY |
Addresses
Primary practice location
231 Co. Hwy 1
Bainbridge, NY 13733
Mailing address
PO Box 292
Sidney, NY 13838-0292
Phone (607) 433-0829
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00256-1 | Other | NY | PHYSICAL THERAPY LICENSE |
| 01901037 | Medicaid | NY |
Other names
- Aktive Orthotics
Other providers in Bainbridge, NY
- Morgan Parish
- Jamie Lee Price
- Leora P. Ray
- Amanda Elizabeth Roe
- Judith Ann Schneider
- Nicole L Seymour
- John Sostarich
- Andrew Maxwell Steinbach
- Lonnie Lee Tuttle
- Karen Watford
All providers in Bainbridge, NY · Durable Medical Equipment & Medical Supplies in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.