Ceceila R. Fortune, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

05757 Issued in MD

Practice address

4730 Atrium CT
Owings Mills, MD 21117-3556

Phone

(410) 363-4790

Fax

(410) 363-1894

NPI assigned

Apr 10, 2009

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

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Homecare Rehab and Nursing LLCGroup PAC ID 7517026198, 11 clinicians

Assisted Rehab. IncorporatedGroup PAC ID 9830144591, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Assisted Rehab. Incorporated

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Towson, MD
  • NPI 1427196955

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Homecare Rehab and Nursing LLC

  • Physical Medicine & Rehabilitation Physician
  • Frederick, MD
  • NPI 1235387762

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Baker Rehab Agency LLC

  • Rehabilitation Clinic/Center
  • Frederick, MD
  • NPI 1346605474
  NPD (past)

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1104069814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 ATRIUM CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173556",
            "telephone_number": "410-363-4790",
            "fax_number": "410-363-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 ATRIUM CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173556",
            "telephone_number": "410-363-4790",
            "fax_number": "410-363-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "CECEILA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beatrice Bih Fossung
• Foundations ABA LLC
• Ebony Fowler, LCPC
• Laurel Fox

• Occupational Therapist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.