Active NPI
Adam Simpson Fischer, PT, DPT
- Physical Therapist
- Culver, IN
National Provider Identifier
1831649680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006646
- Practice address
- 950 E Shore Dr
Culver, IN 46511-9120 - Phone
- (773) 580-5064
- NPI assigned
- Oct 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 006646 | KY | Primary |
Addresses
Primary practice location
950 E Shore Dr
Culver, IN 46511-9120
Mailing address
950 E Shore Dr
Culver, IN 46511-9120
Phone (773) 580-5064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1124 Sam Rittenberg Blvd
Suite 1
Charleston, SC 29407-3362
Phone (843) 556-3462
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006646 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W M Woodward, MD, PA | Physical Therapist | Current | Accepting new patients |
Locations
1124 Sam Rittenberg Blvd
Ste 1
Charleston, SC 29407
Phone (803) 556-3462
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1831649680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 E SHORE DR",
"city": "CULVER",
"state": "IN",
"postal_code": "465119120",
"telephone_number": "773-580-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E SHORE DR",
"city": "CULVER",
"state": "IN",
"postal_code": "465119120",
"telephone_number": "773-580-5064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "ADAM",
"middle_name": "SIMPSON",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.