FISCHER SPORTS THERAPY (NPI# 1639211519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639211519 |
| Entity Type | Organization |
| Organization Name | FISCHER SPORTS THERAPY |
| Practice Address |
4050 E Cotton Center Blvd Suite 60 Phoenix AZ 85040-8861 |
| Practice Telephone | 6024375055 |
| Mailing Telephone | 6024375055 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL TERRY MCKENNEY (ATHLETIC TRAINER) |
| Authorized Official Telephone | 6024375055 |
| Authorized Official Credential | ATC, CSCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0076 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4050 E COTTON CENTER BLVD SUITE 60 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-8861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386718260 | Hanger Prosthetics & Orthotics West Inc | Prosthetic/Orthotic Supplier | 4050 E Cotton Center Blvd, Suite 60, Phoenix, AZ 85040-8861 | 2006-11-20 |
| 1851956528 | Russell Jaffe | Physical Therapist | 4050 E Cotton Center Blvd, Phoenix, AZ 85040-8861 | 2019-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459072 | Xyz Mobility LLC | Durable Medical Equipment & Medical Supplies | 4014 East Broadway Rd, Suite 405, Phoenix, AZ 85040 | 2020-02-19 |
| 1184162588 | Moses Assisted Living LLC | Community Based Residential Treatment Facility, Mental Illness | 827 E Chipman Rd, Phoenix, AZ 85040 | 2017-02-06 |
| 1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
| 1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
| 1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
| 1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
| Find all providers in zip 85040 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947735 | Leslie Fernanda Jimenez Terrazas | Specialist/Technologist | 5213 W Vernon Ave, Phoenix, AZ 85035-1950 | 2020-09-19 |
| 1649886219 | Shannon Brittany Addington | Specialist/Technologist | 901 E Van Buren St Apt 2021, Phoenix, AZ 85006-4030 | 2020-09-18 |
| 1477169282 | Deborah Carter | Specialist/Technologist | 5346 N. 29th Ave., Phoenix, AZ 85017 | 2020-09-17 |
| 1083220065 | Ashley Medeiros | Specialist/Technologist | 2926 E. Encanto Blvd., Phoenix, AZ 85009 | 2020-09-16 |
| 1386269454 | Alexis Ileana Encarnacion | Specialist/Technologist | 375 E Virginia Ave Ste B, Phoenix, AZ 85004-1202 | 2020-06-14 |
| 1316568470 | Daria Bickham | Specialist/Technologist | 18401 N 32nd St, Phoenix, AZ 85032-1210 | 2020-04-29 |
| 1255970059 | Lauren Berryhill | Specialist/Technologist | 510 W Gary Way, Phoenix, AZ 85041-8051 | 2019-12-27 |
| 1407490113 | Aubree 031854585 Begay-houston | Specialist/Technologist | 4232 N 3rd Ave Apt 4, Phoenix, AZ 85013-3093 | 2019-11-05 |
| 1316597396 | Aaron Hoback | Specialist/Technologist | 3805 N 53rd Ave, Phoenix, AZ 85031-3046 | 2019-09-12 |
| 1942858345 | Roxanne Reynolds | Specialist/Technologist | 5445 E Yale St, Phoenix, AZ 85008-1711 | 2019-08-28 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.