David W Fischer, PTMA

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

012591-1 Issued in NY

Practice address

290 Larkfield Rd Unit B
East Northport, NY 11731-2444

Phone

(631) 547-5500

Fax

(631) 427-2223

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rom on the Run Physical Therapy PCGroup PAC ID 6709955180, 3 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.

• Rom on the Run Physical Therapy, PC

  • Physical Therapist
  • East Northport, NY
  • NPI 1740455633
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912914623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LARKFIELD RD UNIT B",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312444",
            "telephone_number": "631-547-5500",
            "fax_number": "631-427-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LARKFIELD RD UNIT B",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312444",
            "telephone_number": "631-547-5500",
            "fax_number": "631-427-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 E Main St",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117432939",
            "country_code": "US",
            "telephone_number": "631-427-7600",
            "fax_number": "631-427-7636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 E Main St",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117432939",
            "country_code": "US",
            "telephone_number": "631-427-7600",
            "fax_number": "631-427-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PTMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "012591-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD NUMBER",
            "identifier": "ANC1445",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE NUMBER",
            "identifier": "Q79241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara D Ferguson
• John S Ferraro, D.O.
• John W Fieger
• Sophia Jewel Fiorino, LPN
• Christopher John Fischer, ND
• Samantha K Fischer, LPN
• Carrie L. Fischetti, M.S. ED.
• Justina Fischetti, BCBA, LBA
• Susan Iris Flanagan
• B David Fleisher, PSY. D.

• Orthopedic Physical Therapist in East Northport, NY
• Providers in East Northport, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.