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

Tacey L Fischbach, DPT

Individual provider Physical Therapist · NPI 1659264570

Tacey L Fischbach, DPT is a Physical Therapist in Private Practice in Gillette, Wyoming. Qualified in 2025, 1 year ago. Practices with 212 Degrees LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
1
Licensed in
WY
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

620 4 J Ct
Gillette, WY 82716-4130
Phone: (307) 686-2569
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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 PT-2512 (WY)

Record details

NPI number1659264570
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 30, 2025
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice 212 Degrees Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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