Individual provider Active NPI

Tasha Ann Fisher, PT

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1821032509
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4104 Issued in AL
Practice address
924 Fulton Ave SW
Birmingham, AL 35211-1229
Phone
(205) 786-0315
Fax
(205) 788-2663
NPI assigned
Jun 15, 2006
Last updated
May 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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 PTH4104 AL Primary

Addresses

Primary practice location

924 Fulton Ave SW
Birmingham, AL 35211-1229

Mailing address

PO Box 11407
Birmingham, AL 35246-0778
Phone (205) 786-0315

Other identifiers 13

IdentifierTypeStateIssuer
000083114OtherALBLUE CROSS
000083114MedicaidAL
020014611OtherALRAILROAD MEDICARE
051526344OtherALBLUE CROSS
051526341OtherALBLUE CROSS
051536567MedicaidAL
009977845MedicaidAL
009977855MedicaidAL
00124708OtherMSMISSISIPPI MEDICAID
051536567OtherBLUE CROSS
12967OtherALHEALTHSPRING OF ALABAMA
051002560OtherALBLUE CROSS
890014370MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215000668 AL Practitioner - Physical Therapist in Private Practice 0143272443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Beyond Physical Therapy of Vestavia LLCGroup PAC ID 5496129652, 7 clinicians

Practice addresses (Care Compare)

100 Centerview Dr
Suite 190
Vestavia Hills, AL 35216-3774
Phone (205) 824-0610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH4104ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ergoscience, Inc Current Accepting new patients
Beyond Physical Therapy of Vestavia, LLC Physical Therapist CurrentSince Feb 9, 2024 Accepting new patients
Ergoscience, Inc. CurrentSince Oct 19, 2012 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
Accumed Health Services, LLC Past Accepting new patients

Locations

2729 3rd Ave S
Birmingham, AL 35233
Phone (205) 731-9090

100 Centerview Dr
Ste 190
Vestavia Hills, AL 35216
Phone (205) 453-9228

Organizations & group practices 5

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1821032509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460778",
            "telephone_number": "205-786-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 FULTON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111229",
            "telephone_number": "205-786-0315",
            "fax_number": "205-788-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "TASHA",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000083114",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000083114",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020014611",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051526344",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051526341",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051536567",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009977845",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009977855",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISIPPI MEDICAID",
            "identifier": "00124708",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051536567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING OF ALABAMA",
            "identifier": "12967",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051002560",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890014370",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.