Active NPI
Paige Fisher
- Physical Therapy Assistant
- South Daytona, FL
National Provider Identifier
1942677158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 25987
- Practice address
- 401 Venture Dr
South Daytona, FL 32119-3478 - Phone
- (386) 763-0084
- NPI assigned
- Aug 24, 2015
- Last updated
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA 25987 | FL | Primary |
Addresses
Primary practice location
401 Venture Dr
South Daytona, FL 32119-3478
Mailing address
1200 Lexington Green LN
Sanford, FL 32771-1013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686675 | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 25987 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Health Services, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Orlando, FL
- NPI 1992085302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1942677158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 LEXINGTON GREEN LN",
"city": "SANFORD",
"state": "FL",
"postal_code": "327711013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 VENTURE DR",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321193478",
"telephone_number": "386-763-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 25987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "686675",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Daytona, FL
- Family Care Physicans, LLP
- Paul Philip Farruggio, D.C.
- Crystal Crickette Fedele, AP
- Elizabeth Ann Ferguson, L.C.S.W.
- Michael Ficarra
- Fleta Medical Care Center, LLC
- Jenni Lynn Flick, LMT
- Florida Hospital DME/RT, LLC (AdventHealth Respiratory and Equipment Florida)
- Marcus Zachariah Folkes, MS
- Kimberly Francis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.