Fortis Fitness & Rehabilitation, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2299 Issued in NV

Legal business name

FORTIS FITNESS & REHABILITATION, LLC

Doing business as

Empower Medical Performance

Practice address

1483 W Horizon Ridge Pkwy Ste 170
Henderson, NV 89012

Phone

(702) 899-3112

NPI assigned

Aug 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kristopher David Bosch, DPTNPI 1306860671

Title

Member

Phone

(702) 493-6473

Specialties & licenses 1

Addresses

Other names 1

• Empower Medical Performance Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristopher David Bosch, PT, DPT, ATC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1306860671
  NPD (past) Authorized official

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1053837385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 W HORIZON RIDGE PKWY STE 170",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124201",
            "telephone_number": "702-899-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 W HORIZON RIDGE PKWY STE 170",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89012",
            "telephone_number": "702-899-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIS FITNESS & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "BOSCH",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-493-6473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NV",
            "license": "2299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empower Medical Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monique Dajanaa Foreman
• Forever Family Care LLC
• Forge Ahead LLC
• Chivon Forrester
• Tanner Forsberg
• Amy G Forton, CPC, LADC
• Michael A Fortunato, MD
• Gabriela Foster-Martin, LMSW, CSW-INTERN
• Claudia Foster-Olson, M.D.
• Christine M Foster, RRT

• Physical Therapy Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Therapy Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.