Timothy M Fisch

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

OC014973 Issued in PA

Practice address

1101 Vine St
Scranton, PA 18510-2193

Phone

(570) 344-6177

NPI assigned

Jul 10, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cip Rehabilitation IncGroup PAC ID 4789932104, 46 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.

• Cip Rehabilitation Inc

  • Occupational Therapist
  • Dallas, PA
  • NPI 1669963039

  PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1962054924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 VINE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102193",
            "telephone_number": "570-344-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VINE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102193",
            "telephone_number": "570-344-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCH",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "PA",
            "license": "OC014973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Finan-Sewatsky, MD
• Beverly Fink
• Rachel Finley
• Alan H Firestone, D.M.D.,P.C.
• Robert Fisch, CRNA
• Clarissa Fischer
• Aubri Michelle Fisher
• Douglas Fisher, DO
• Lisa M Fisher, MA, LPC
• Stephanie Anne Fisk, PT

• All providers in Scranton, PA
• Gerontology Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.