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SCOTT FISHER NPI 1790969855


NPI Information

NPI: 1790969855
Provider Name: SCOTT FISHER

Doing Business As: AKTIVE ORTHOTICS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
231 CO. HWY 1
BAINBRIDGE, NY
ZIP 13733
Phone: (607) 433-0829
Get Directions

SCOTT FISHER is a durable medical equipment medical supplies in Bainbridge, NY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SCOTT FISHER NPI is 1790969855. The provider is registered as an organization entity type.
The provider Is Doing Business As Aktive Orthotics.

The provider's business location address is:

231 CO. HWY 1
BAINBRIDGE, NY
ZIP 13733
Phone: (607) 433-0829
Fax: (607) 433-0829

The provider's authorized official is Scott Alan Fisher .
The authorized official title is Owner and has the following contact phone number (607) 433-0829.

The enumeration date for this NPI number is 12/26/2007 and was last updated on 7/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierC16086NEW YORKNo
2332B00000XDurable Medical Equipment & Medical SuppliesC16086NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101901037MEDICAIDNEW YORK
21222210001MEDICARE NSCNEW YORK
300256-1OTHERNEW YORKPHYSICAL THERAPY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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