Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brenton Jay Fischer, PTATCCSCS

Individual provider Sports Physical Therapist · NPI 1881736585

Brenton Jay Fischer, PTATCCSCS is a Sports Physical Therapist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

719 W Kaler Dr
Phoenix, AZ 85021-8026
Phone: (480) 577-6802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2667 (AZ)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 2667 (AZ)

Record details

NPI number1881736585
Entity typeIndividual (Type 1)
GenderMale
Credentials PTATCCSCS
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESDecember 10, 2022
Certification dateDecember 10, 2022

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