Christian Hope Fortunato, B.S.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

3853 Issued in AZ

Practice address

11 Leather Oak TRL
Clayton, NC 27520-3655

Phone

(661) 496-6290

Fax

(661) 496-6290

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christian Barrera Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1073714648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LEATHER OAK TRL",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275203655",
            "telephone_number": "661-496-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LEATHER OAK TRL",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275203655",
            "telephone_number": "661-496-6290",
            "fax_number": "661-496-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNATO",
        "first_name": "CHRISTIAN",
        "middle_name": "HOPE",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "3853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIAN",
            "last_name": "BARRERA",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Antoinette Fobbs, LCSW-C
• Quarda Fobbs, LCSW
• Food Lion LLC
• Foot & Ankle Associates of North Carolina, PLLC
• Ashia Forman, MED
• Catherine C Fox, OTR/L
• Jacob Fox, ATC
• Steven B Fox, RPH
• Jack Francis
• James Franklin, PA-C

• Pediatric Occupational Therapist in Clayton, NC
• Providers in Clayton, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.