JUSTIN LEE FISCHER (PT) – Physical Therapist, NPI 1275762338

JUSTIN LEE FISCHER (PT) is a healthcare provider. based in Lynnwood, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5995 (OR). The NPI Number for JUSTIN LEE FISCHER (PT) is 1275762338

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN LEE FISCHER (PT)
NPI
1275762338
Phone
(425) 672-6400
Address
20200 54TH AVE W
Enumeration Date
10 July 2009
Last Update Date
9 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5038381182
Graduation Year
2009 (17 years ago)
PAC ID
9234328055
Group Practice PAC ID
8628986668
Professional Enrollment ID
I20220311001369
Address ID
OR973612370MO512XXEXXX402

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness85
Years active:16State licenses:3Other namesUpdated within 12 months

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for JUSTIN LEE FISCHER (PT)

  • 20200 54TH AVE W

    LYNNWOOD, WA 980366318

    Phone: (425) 672-6400

    Type: Mailing

  • 201, Northeast Park Plaza Drive, The Park at Mill Plain, Evergreen, Vancouver, Clark County, Washington, 98684, United States

    SUITE 246

    VANCOUVER, WA 986845808

    Phone: (360) 696-1070

    Fax: (360) 737-0200

    Type: Location

  • 205, Lennon Lane, Shadelands Business Park, Walnut Creek, Contra Costa County, California, 95498, United States

    SHASTA BUILDING

    WALNUT CREEK, CA 945982420

    Phone: (925) 906-2055

    Type: Mailing

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: 2022-03-11

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
I20220311001369IPhysical Therapist In Private PracticeORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98036)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628986668View full group profile
NameSpecialtyState
-OR
U R O L O G YOR
Physician AssistantOR
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YMT
Family PracticeOR
Plastic And Reconstructive SurgeryOR
Nurse PractitionerOR
A N E S T H E S I O L O G YWA
-OR

Reviews

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Frequently asked questions

What is the registry number for JUSTIN LEE FISCHER (PT)?
The registry entry for JUSTIN LEE FISCHER (PT) shows NPI 1275762338.
Is JUSTIN LEE FISCHER (PT) currently accepting referrals based on NPI status?
Registry metadata lists JUSTIN LEE FISCHER (PT) as active.
What does the directory say JUSTIN LEE FISCHER (PT) does?
Insurance directories may phrase it differently, but here JUSTIN LEE FISCHER (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit JUSTIN LEE FISCHER (PT) in Lynnwood, Washington?
For routing, start with Lynnwood, Washington for JUSTIN LEE FISCHER (PT), then verify phone and hours locally.
Why is information missing for JUSTIN LEE FISCHER (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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