Samuel Tyson Fischer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL0012927 Issued in CO

Practice address

2100 W Drake Rd
Ste 3
Fort Collins, CO 80526-1400

Phone

(970) 460-8544

NPI assigned

Aug 3, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choice City Physical TherapyGroup PAC ID 3779829734, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Choice City Physical Therapy

  • Physical Therapy Clinic/Center
  • Fort Collins, CO
  • NPI 1659852051

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1881940294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W DRAKE RD",
            "address_2": "STE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261400",
            "telephone_number": "970-460-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W DRAKE RD",
            "address_2": "STE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261400",
            "telephone_number": "970-460-8544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3880 Grant Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805388433",
            "country_code": "US",
            "telephone_number": "970-663-7780",
            "fax_number": "970-663-7781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "SAMUEL",
        "middle_name": "TYSON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0012927",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Finkelston-Brown, LPC
• Michelle Firks, OTR/L
• Alexandra Marie Fischer
• Ashley Fischer
• Marc Fischer
• Susan Elizabeth Fischer, M.S., CCC-SLP
• Rylan Fish
• Adam Fisher, LPC, MA
• Barbara L Fisher, PH.D.
• Cheri Fisher

• Physical Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.