Organization Active NPI

Fortius Physical Therapy, PLLC

  • Physical Therapist
  • Moorestown, NJ
National Provider Identifier
1053647917
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027259-1 Issued in NY
Legal business name
FORTIUS PHYSICAL THERAPY, PLLC
Practice address
704 E Main St Ste H
Moorestown, NJ 08057-3071
Phone
(856) 235-4444
Fax
(856) 235-4000
NPI assigned
Oct 28, 2009
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela Castaldi
Title
Billing/Office Manager
Phone
(856) 235-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027259-1 NY Primary

Addresses

Primary practice location

704 E Main St Ste H
Moorestown, NJ 08057-3071

Mailing address

704 E Main St Ste H
Moorestown, NJ 08057-3071
Phone (856) 235-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100210000162 NY Part B Supplier - Clinic/Group Practice 5193868339 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20150304000532 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193868339 Receives reassigned benefits from 2 practitioners
Practice locations: Moorestown, NJ

National Provider Directory

National Provider Directory

Locations

110 Marter Ave
Ste 409
Moorestown, NJ 08057
Phone (856) 235-4444

704 E Main St
Ste H
Moorestown, NJ 08057
Phone (856) 235-4444

850 7th Ave
Ste 905
New York, NY 10019
Phone (212) 757-7110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1053647917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E MAIN ST STE H",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573071",
            "telephone_number": "856-235-4444",
            "fax_number": "856-235-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E MAIN ST STE H",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573071",
            "telephone_number": "856-235-4444",
            "fax_number": "856-235-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIUS PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "CASTALDI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BILLING/OFFICE MANAGER",
        "authorized_official_telephone_number": "856-235-4444"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027259-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.