Active NPI
Fortunato Franco Jr., PT, DPT
- Physical Therapist
- Tallahassee, FL
National Provider Identifier
1053987511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6506
- Practice address
- 2516 Lakeshore Dr
Tallahassee, FL 32312-2104 - Phone
- (850) 739-7278
- NPI assigned
- Jun 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6506 | FL | Primary |
Addresses
Primary practice location
2516 Lakeshore Dr
Tallahassee, FL 32312-2104
Mailing address
733 Hunters Run Blvd
Lakeland, FL 33809-6641
Phone (863) 812-8569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6506 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1053987511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 HUNTERS RUN BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338096641",
"telephone_number": "863-812-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 LAKESHORE DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323122104",
"telephone_number": "850-739-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCO",
"first_name": "FORTUNATO",
"name_suffix": "Jr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "6506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.