TACEY L FISCHBACH (DPT) – Physical Therapist, NPI 1659264570

TACEY L FISCHBACH (DPT) is a healthcare provider. based in Gillette, Wyoming. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT-2512 (WY). The NPI Number for TACEY L FISCHBACH (DPT) is 1659264570

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
TACEY L FISCHBACH (DPT)
NPI
1659264570
Phone
(307) 686-2569
Address
620 4 J CT
Enumeration Date
30 May 2025
Last Update Date
30 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076868177
Graduation Year
2025 (1 year ago)
PAC ID
6305356023
Group Practice PAC ID
3072648468
Professional Enrollment ID
I20250611000574
Address ID
WY827185582GI1103XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

389 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WY

Provider Addresses for TACEY L FISCHBACH (DPT)

  • 620 4 J CT

    GILLETTE, WY 827164130

    Phone: (307) 686-2569

    Type: Location

  • PO BOX 1790

    DOUGLAS, WY 826331790

    Phone: (307) 359-7700

    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: 2025-06-11

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
I20250611000574IPhysical Therapist In Private PracticeWYTBD

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 82716)

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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: 3072648468View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Occupational Therapist In Private PracticeCO
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY

Reviews

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Frequently asked questions

Can I verify TACEY L FISCHBACH (DPT) with an NPI only?
You can start verification with NPI 1659264570 for TACEY L FISCHBACH (DPT), then check state licensing separately.
Is TACEY L FISCHBACH (DPT) listed as active for patients and plans?
The listing shows TACEY L FISCHBACH (DPT) as active in the NPI system.
What taxonomy line describes TACEY L FISCHBACH (DPT)?
For research purposes, treat TACEY L FISCHBACH (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for TACEY L FISCHBACH (DPT)?
TACEY L FISCHBACH (DPT)'s geographic hint is Gillette, Wyoming in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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