Organization Active NPI

Fisher Chiropractic Inc

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1831552827
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28250 Issued in CA
Legal business name
FISHER CHIROPRACTIC INC
Practice address
43 Corporate Park
204
Irvine, CA 92606-5137
Phone
(714) 550-0788
Fax
(714) 550-6001
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Dr. Jeff Allen Fisher, D.C.
Title
President
Phone
(714) 550-0788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT28250 CA Primary

Addresses

Primary practice location

43 Corporate Park
204
Irvine, CA 92606-5137

Mailing address

43 Corporate Park
204
Irvine, CA 92606-5137
Phone (714) 550-0788

Other identifiers 1

IdentifierTypeStateIssuer
PT28250OtherCAPT-28250

Other names 1

  • Physical Therapy Other name

National Provider Directory

National Provider Directory

Locations

43 Corporate Park
Ste 204
Irvine, CA 92606
Phone (714) 550-0788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1831552827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CORPORATE PARK",
            "address_2": "204",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065137",
            "telephone_number": "714-550-0788",
            "fax_number": "714-550-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CORPORATE PARK",
            "address_2": "204",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065137",
            "telephone_number": "714-550-0788",
            "fax_number": "714-550-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-550-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT-28250",
            "identifier": "PT28250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.