Individual ProviderGregg D FiskePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2042 NE 8th St, Homestead, FL 33033-4702(305) 801-1616PECOS EnrollmentBased on the most recent information from CMS, provider Gregg D Fiske does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1114958162Provider TypeIndividualFull NameFiske, Gregg DCredentialPHYSICAL THERAPISTGenderMaleSole ProprietorYesEnumeration Date7/6/2006Last Updated8/28/2025Contact InformationPractice LocationPractice Address2042 NE 8th St, Homestead, FL 33033-4702Phone(305) 801-1616FaxUnlisted FaxMailing LocationMailing Address2042 NE 8th St, Homestead, FL 33033-4702Phone(305) 801-1616FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT15371Florida