La Fortaleza Physical Therapy Center Inc.

A Medicare group practice based in Philadelphia, PA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5395934590), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395934590The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Independently-Practicing Physical Therapist, Part B Supplier - Clinic/Group Practice
Enrolled in
PA
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20110104000456 PA Part B Supplier - Clinic/Group Practice 1285673517
O20230804003657 PA DME Supplier - Independently-Practicing Physical Therapist 1285673517

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 13

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (5).

Sources for this page