Active NPI
Claudia Ann Fisher, PT
- Physical Therapist
- Northbrook, IL
National Provider Identifier
1811099294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070006291
- Practice address
- 600 Waukegan Rd
Unit 132
Northbrook, IL 60062-1258 - Phone
- (847) 784-8733
- Fax
- (847) 739-7164
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070006291 | IL | Primary |
Addresses
Primary practice location
600 Waukegan Rd
Unit 132
Northbrook, IL 60062-1258
Mailing address
1161 Kasting LN
Mundelein, IL 60060-9147
Phone (847) 566-7866
Other names 1
- Claudia Fisher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211209000266 | IL | Practitioner - Physical Therapist in Private Practice | 2769872217 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1811099294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 KASTING LN",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600609147",
"telephone_number": "847-566-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WAUKEGAN RD",
"address_2": "UNIT 132",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621258",
"telephone_number": "847-784-8733",
"fax_number": "847-739-7164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "CLAUDIA",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070006291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLAUDIA",
"last_name": "FISHER",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.