Scott Alan Fisher, PTA CF

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

C16086 Issued in NY

Practice address

231 Co Hwy 1
Bainbridge, NY 13733

Phone

(607) 433-0829

Fax

(607) 433-0829

NPI assigned

Dec 4, 2006

Last updated

Jan 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Scott Fisher

  dba Aktive Orthotics

  • Durable Medical Equipment & Medical Supplies
  • Bainbridge, NY
  • NPI 1790969855
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1962570150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "138380292",
            "telephone_number": "607-433-0829",
            "fax_number": "607-433-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CO HWY 1",
            "city": "BAINBRIDGE",
            "state": "NY",
            "postal_code": "13733",
            "telephone_number": "607-433-0829",
            "fax_number": "607-433-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PTA CF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NY",
            "license": "C16086",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "00256-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01901037",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Cirigliano, RN
• Doddy Lee Crisell, D.C.
• David Bame Jr (Equip-To-Care)
• Julie Ann Davy, LPN
• Rachel Lauren Decker, LPN
• Germond Chiropractic Healthcare & Wellness Center
• Matthew Bernard Germond, DC
• Michelle Ann Gifford, DDS
• Joelle Greene, LCSW
• Kenneth Ryan Greene, LCSWR

• Orthotic Fitter in Bainbridge, NY
• Providers in Bainbridge, NY by specialty
• Orthotic Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.