Active NPI
Adam David Fischer, PT, DPT, ATC
- Physical Therapist
- Cold Spring, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12801
- Practice address
- 402 Red River Ave N Ste 6
Cold Spring, MN 56320-1523 - Phone
- (320) 685-7269
- NPI assigned
- Apr 30, 2019
- Last updated
- Sep 16, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MN | ||
| Physical Therapist | 225100000X | 12801 | MN | Primary |
| Athletic Trainer | 2255A2300X | NU |
Addresses
Primary practice location
402 Red River Ave N Ste 6
Cold Spring, MN 56320-1523
Mailing address
402 Red River Ave N Ste 6
Cold Spring, MN 56320-1523
Phone (320) 685-7269
Other practice location 1
14195 Cherrywood Dr
Baxter, MN 56425-8496
Phone (218) 232-7898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15301 Grove Cir N
Maple Grove, MN 55369-4475
Phone (952) 993-5900
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Novacare Outpatient Rehabilitation East, Inc. | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Novacare Outpatient Rehabilitation East Inc | Past | Accepting new patients |
Locations
402 Red River Ave N
Ste 6
Cold Spring, MN 56320
Phone (320) 685-7269
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
Organizations & group practices 5
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.
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Cold Spring, MN
- NPI 1649091315
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
- Family Medicine Physician
- Brooklyn Park, MN
- NPI 1447668678
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Ferndale, MI
- NPI 1245235191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1982268413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 RED RIVER AVE N STE 6",
"city": "COLD SPRING",
"state": "MN",
"postal_code": "563201523",
"telephone_number": "320-685-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 RED RIVER AVE N STE 6",
"city": "COLD SPRING",
"state": "MN",
"postal_code": "563201523",
"telephone_number": "320-685-7269"
}
],
"practiceLocations": [
{
"address_1": "14195 Cherrywood Dr",
"address_purpose": "LOCATION",
"city": "Baxter",
"state": "MN",
"postal_code": "564258496",
"country_code": "US",
"telephone_number": "218-232-7898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISCHER",
"first_name": "ADAM",
"middle_name": "DAVID",
"credential": "PT, DPT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-30",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "12801",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cold Spring, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.