Active NPI
Michael Byron Fisher, MPT
- Physical Therapist
- Allen, TX
National Provider Identifier
1902913635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1102515
- Practice address
- 202 N Allen Dr
Suite C
Allen, TX 75013 - Phone
- (972) 727-9888
- Fax
- (972) 727-9909
- NPI assigned
- Aug 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1102515 | TX | |
| Physical Therapist | 225100000X | 1102515 | TX | Primary |
Addresses
Primary practice location
202 N Allen Dr
Suite C
Allen, TX 75013
Mailing address
202 N Allen Dr
Suite C
Allen, TX 75013
Phone (972) 727-9888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087741701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031205000354 | TX | Practitioner - Physical Therapist in Private Practice | 9032014691 | Practice locations: Allen, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
202 N Allen Dr
Suite C
Allen, TX 75013-2549
Phone (972) 727-9888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1102515 | TX | MD | Physical Therapist |
| PT1102515 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Physical Therapy | Single Specialty | Current | Accepting new patients |
| Allen Vision Center, P.a. | Single Specialty | Past | Accepting new patients |
Locations
202 N Allen Dr
Ste C
Allen, TX 75013
Phone (972) 727-4042
301 N Allen Dr
Ste A
Allen, TX 75013
Phone (972) 727-9888
Organizations & group practices 2
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": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1902913635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N ALLEN DR",
"address_2": "SUITE C",
"city": "ALLEN",
"state": "TX",
"postal_code": "75013",
"telephone_number": "972-727-9888",
"fax_number": "972-727-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N ALLEN DR",
"address_2": "SUITE C",
"city": "ALLEN",
"state": "TX",
"postal_code": "75013",
"telephone_number": "972-727-9888",
"fax_number": "972-727-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MICHAEL",
"middle_name": "BYRON",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "PT1102515",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1102515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "087741701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.