Amy Veazey Fisher, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07.010830 Issued in IL

Practice address

3333 W Deyoung St
Marion, IL 62959-5884

Phone

(618) 998-7907

Fax

(618) 998-7908

NPI assigned

Sep 13, 2021

Last updated

Sep 13, 2021By 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 names 1

• Amy Veazey Dyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1942979851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16590 COLLINS RD",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "629512646",
            "telephone_number": "618-521-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595884",
            "telephone_number": "618-998-7907",
            "fax_number": "618-998-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "AMY",
        "middle_name": "VEAZEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "07.010830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DYER",
            "middle_name": "VEAZEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rodney Adrain Finch, CRNA
• Gage M Fink, RD, RDN
• Treniece Nichole Finney, AGACNP
• Emily Grace Fischer, RDH
• Austin Fishback
• Janice Fisher
• Jacklyn M Fitzpatrick, AGNP-C
• Louis Flagin, PA-C
• Kara Danielle Flatt, APN
• Alexis Fletcher, PHARMD

• Physical Therapist in Marion, IL
• Providers in Marion, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.