Fortitude Physical Therapy & Rehabilitation LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

002798 Issued in WV

Legal business name

FORTITUDE PHYSICAL THERAPY & REHABILITATION LLC

Doing business as

Fortitude PT

Practice address

1779 Alpine Lake Rd
Terra Alta, WV 26764-6999

Phone

(304) 789-3000

Fax

(304) 212-2584

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Seegee Michele Bachtel, PT, DPTNPI 1366778318

Title

Member Manager

Phone

(304) 789-3000

Specialties & licenses 1

Addresses

Other names 1

• Fortitude PT Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

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

• Seegee Michele Bachtel, DPT

  • Physical Therapist
  • Terra Alta, WV
  • NPI 1366778318
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1093050809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 ALPINE LAKE RD",
            "city": "TERRA ALTA",
            "state": "WV",
            "postal_code": "267646999",
            "telephone_number": "304-789-3000",
            "fax_number": "304-212-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 ALPINE LAKE RD",
            "city": "TERRA ALTA",
            "state": "WV",
            "postal_code": "267646999",
            "telephone_number": "304-789-3000",
            "fax_number": "304-212-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE PHYSICAL THERAPY & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "BACHTEL",
        "authorized_official_first_name": "SEEGEE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "304-789-3000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WV",
            "license": "002798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortitude PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martina Michelle Cupp
• Tonya Lynn Dalton
• Bethany Dewitt
• Connie Dewitt
• Sandy Dewitt
• Angela Jean Freeland
• Sherry Freeland, LMT
• Beth Fultz-Graham
• Peggy Sue Funk
• Adrienne E Goodwin

• Physical Therapy Clinic/Center in Terra Alta, WV
• Providers in Terra Alta, WV by specialty
• Physical Therapy Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.