Michael N Fischvogt, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 12037 Issued in CA

Practice address

3878 West Carson Street
Suite 100
Torrance, CA 90503

Phone

(310) 543-4655

Fax

(310) 543-1743

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Group practices

South Bay Sports Medicine Physical Therapy IncGroup PAC ID 0244262087, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Bay Sports Medicine Physical Therapy Inc.

  • Physical Therapist
  • Torrance, CA
  • NPI 1780770214
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831284231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3878 WEST CARSON STREET",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-543-4655",
            "fax_number": "310-543-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3878 WEST CARSON STREET",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-543-4655",
            "fax_number": "310-543-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHVOGT",
        "first_name": "MICHAEL",
        "middle_name": "N",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 12037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PHYSICAL THERAPY LIC.",
            "identifier": "PT  12037",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Choice Orthopedic Centers, Inc.
• Firstpoint Behavioral and Addictio
• Firstsight Vision Services, Inc.
• Firstsight Vision Services, Inc.
• Hans Fischer, M.D.
• Lisa A Fisher, M.D.
• Madeleine Rita Fisher, MD
• Marilee Fisher, MD
• Steven Douglas Fisher, M.D.
• Joann Fitzpatrick, MA

• Physical Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.