KYLE FISHER DPT
NPI 1194191924
Physical Therapist - Orthopedic in Lake Worth, FL

Active since August 17, 2015
4650 WYCLIFFE COUNTRY CLUB BLVD, LAKE WORTH, FL 33449(561) 472-6537 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kyle Fisher Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE FISHER DPT (NPI 1194191924) is an individual orthopedic provider in Lake Worth, Florida, licensed in Florida (30567) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1194191924
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameKYLE FISHERCredential: DPT
Location Address4650 WYCLIFFE COUNTRY CLUB BLVDLake Worth, FL 33449-8151
Mailing Address416 Westwood Rd, GarageWest Palm Beach, FL 33401-7934 · (561) 317-8886
Sole ProprietorNo
Enumeration DateAugust 17, 2015
✔ NPI 1194191924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in FL · 30567
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
4650 WYCLIFFE COUNTRY CLUB BLVD, Lake Worth, FL 33449

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Fisher Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kyle Fisher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
113A CHEROKEE HOSPITAL LOOP
Cherokee, NC 28719
  • Reassigned Medicare billing, Texas enrollment
  • 161 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
4650 WYCLIFFE COUNTRY CLUB BLVD
LAKE WORTH, FL 33449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Fisher's NPI number?

The NPI number for Kyle Fisher is 1194191924. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Kyle Fisher located?

Kyle Fisher practices at 4650 Wycliffe Country Club Blvd, Lake Worth, FL 33449. The listed phone number is (561) 472-6537.

What is Kyle Fisher's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Kyle Fisher enrolled in Medicare?

Yes. Kyle Fisher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyle Fisher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Fisher reassigns Medicare benefits to Cherokee Indian Hospital Authority (Cherokee, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Fisher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyle Fisher was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.