GREGG D FISKE (PHYSICAL THERAPIST) – Physical Therapist, NPI 1114958162

GREGG D FISKE (PHYSICAL THERAPIST) is a healthcare provider. based in Homestead, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PHYSICAL THERAPIST. They hold a License No. PT15371 (FL). The NPI Number for GREGG D FISKE (PHYSICAL THERAPIST) is 1114958162

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
GREGG D FISKE (PHYSICAL THERAPIST)
NPI
1114958162
Phone
(786) 410-5394
Address
2042 NE 8TH ST
Enumeration Date
6 July 2006
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3058011616
Graduation Year
1996 (30 years ago)
PAC ID
7517065212
Professional Enrollment ID
I20070604000497
Address ID
FL330337614HO925XXTERX412
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for GREGG D FISKE (PHYSICAL THERAPIST)

  • 2042 NE 8TH ST

    HOMESTEAD, FL 330334702

    Phone: (786) 410-5394

    Type: Mailing

  • 815, North Homestead Boulevard, Homestead, Miami-Dade County, Florida, 33030, United States

    BOX 113

    HOMESTEAD, FL 330305024

    Phone: (305) 801-1616

    Type: Mailing

  • 18701, Southwest 291st Terrace, Homestead, Miami-Dade County, Florida, 33030, United States

    HOMESTEAD, FL 330303014

    Phone: (305) 801-1616

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070604000497IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3,27922$0
97140Therapy procedure using manual technique, each 15 minutes2,18822$0
97530Therapy procedure using functional activities1,41722$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,01121$0
View full utilization report →

Insurance plans in this area (ZIP 33033)

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Reviews

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Frequently asked questions

Does GREGG D FISKE (PHYSICAL THERAPIST) have a public NPI I can cite?
Public records show GREGG D FISKE (PHYSICAL THERAPIST) under NPI 1114958162.
Does the public listing show GREGG D FISKE (PHYSICAL THERAPIST) as active?
GREGG D FISKE (PHYSICAL THERAPIST)'s NPI record reflects an active status in NPPES.
Which specialty label fits GREGG D FISKE (PHYSICAL THERAPIST)?
NPPES ties GREGG D FISKE (PHYSICAL THERAPIST) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is GREGG D FISKE (PHYSICAL THERAPIST) tied to Homestead, Florida?
If you are local to Homestead, Florida, GREGG D FISKE (PHYSICAL THERAPIST) may be relevant to your search.
Why is information missing for GREGG D FISKE (PHYSICAL THERAPIST)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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