Kimberly B Fisher, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007488 Issued in WA

Practice address

1408 Lake Tapps Parkway E
Suite E106
Auburn, WA 98092

Phone

(253) 939-7179

Fax

(253) 939-7182

NPI assigned

Nov 30, 2006

Last updated

May 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1922176874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 LAKE TAPPS PARKWAY E",
            "address_2": "SUITE E106",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98092",
            "telephone_number": "253-939-7179",
            "fax_number": "253-939-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 LAKE TAPPS PARKWAY E",
            "address_2": "SUITE E106",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98092",
            "telephone_number": "253-939-7179",
            "fax_number": "253-939-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KIMBERLY",
        "middle_name": "B",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "7757FI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8941198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "176892",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5533755",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL",
            "identifier": "610775100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Field, DPT
• Jennifer Anne Fields, D.D.S.
• Tessa Rachel Fields, LPN
• Stephanie Finne
• Jolene R Fisher, LMP
• Shelby Fisher
• Queenie Fitzgerald, MA, LMHC
• Mark Flanery, MD
• Ray Charles Flanigan, MHT, RC
• Ryan Flood

• Physical Therapist in Auburn, WA
• Providers in Auburn, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.