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TIMOTHY M FISCH
NPI 1962054924
Occupational Therapist - Gerontology in Scranton, PA

Active since July 10, 2019Accepts Medicare Assignment
1101 VINE ST, SCRANTON, PA 18510(570) 344-6177 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Timothy M Fisch NPPES

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

TIMOTHY M FISCH (NPI 1962054924) is an individual gerontology provider in Scranton, Pennsylvania, licensed in Pennsylvania (OC014973) and active in the NPI registry since July 2019. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1962054924
Entity TypeIndividualMale
Primary Taxonomy225XG0600X
Provider Legal NameTIMOTHY M FISCH
Location Address1101 VINE STScranton, PA 18510-2193
Mailing Address1101 Vine StScranton, PA 18510-2193 · (570) 344-6177
Phone(570) 344-6177
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 10, 2019
✔ NPI 1962054924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · GerontologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XG0600X
License✔ Licensed in PA · OC014973
Definition
Occupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of participation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, thereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, and to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.
1101 VINE ST, Scranton, PA 18510
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy M Fisch is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850823089
PECOS Enrollment IDI20241014001309

Medicare Billing Reassignment

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

Cip Rehabilitation Inc
18 mi
Occupational Therapist
5 JACQUELYN LN
Dallas, PA 18612
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 64 clinicians in this Medicare group
NPI 1669963039 (631) 223-6713

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 16

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

MISS DEBORAH ANN ROBERTS COTA/L
Occupational Therapy Assistant
1101 VINE ST
SCRANTON, PA 18510
Lackawanna County (570) 344-6177
MR. MELISSA ANN DUNSTON-BRACE PTA
Physical Therapy Assistant
1101 VINE ST
SCRANTON, PA 18510
Lackawanna County (570) 343-7175
MISS SELENA CAROLYN SNYDER MOTR/L
Occupational Therapist
1101 VINE ST
SCRANTON, PA 18510
Lackawanna County (570) 344-6177
JEWISH HOME OF EASTERN PENNSYLVANIA
Skilled Nursing Facility
1101 VINE ST
SCRANTON, PA 18510
Lackawanna County (570) 344-6177
AMANDA ROSS
Occupational Therapist
1101 VINE ST
SCRANTON, PA 18510
Lackawanna County (570) 344-6177
OKSANA V CASELLA
Physical Therapy Assistant
1101 VINE ST
SCRANTON, PA 18510
Lackawanna County (570) 344-6177
MR. DAVID WEIST LPTA
Physical Therapy Assistant
1101 VINE ST
SCRANTON, PA 18510
Lackawanna County (570) 344-6177
MS. BROOKE LYNN SHORES
Occupational Therapist
1101 VINE ST
SCRANTON, PA 18510
Lackawanna County (570) 344-6177

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 Timothy Fisch's NPI number?

The NPI number for Timothy Fisch is 1962054924. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Timothy Fisch located?

Timothy Fisch practices at 1101 Vine St, Scranton, PA 18510. The listed phone number is (570) 344-6177.

What is Timothy Fisch's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Gerontology, with taxonomy code 225XG0600X.

Is Timothy Fisch enrolled in Medicare?

Yes. Timothy Fisch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Timothy Fisch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Fisch reassigns Medicare benefits to Cip Rehabilitation Inc (Dallas, PA). 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 Timothy Fisch'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 Timothy Fisch was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.