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Laurie Ann Fisher, DPT

Individual provider Active NPI Orthopedic Physical Therapist · Hilton Head, SC

NPI 1952593550 · NPPES record last updated Jul 17, 2017

Key facts

NPI
1952593550
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
5550 (SC)
Practice address
95 Mathews Dr
Suite D5
Hilton Head, SC 29926-3734
Phone
(843) 681-5640
Fax
(843) 681-5631
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT009919GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Therapy Services Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009919 GA
Orthopedic Physical Therapist 2251X0800X 5550 SC Yes

Addresses

Primary practice location

95 Mathews Dr
Suite D5
Hilton Head, SC 29926-3734

Mailing address

95 Mathews Dr
Suite D5
Hilton Head, SC 29926-3734
Phone (843) 681-5640

Other names

  • Laurie Ann Wagner Former name

Other providers in Hilton Head, SC

All providers in Hilton Head, SC · Orthopedic Physical Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.