IndividualActive
Cyril Fisher, PTA
NPI 1972803302 · Physical Therapist · Vicksburg, MS
Provider details
- NPI number
- 1972803302
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA1507 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 Holt Collier Dr
Vicksburg, MS 39180
Phone: (601) 636-6019
Fax: (601) 661-8457
Street-level locationGet directions
Mailing address
151 Amos Rd
Vicksburg, MS 39183-7832
Registry dates
- Enumerated
- 2010-11-02
- Last updated
- 2010-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.