NPIMap

Organization Active NPI

Fortify Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • St George, UT
National Provider Identifier
1184290348
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FORTIFY PHYSICAL THERAPY PLLC
Practice address
792 S 3000 E Ste 104
St George, UT 84790-1801
Phone
(208) 431-0211
Fax
(435) 355-3759
NPI assigned
May 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Dr. Jason Layne Harper, PT, DPTNPI 1700447612
Title
Owner
Phone
(208) 431-0211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

792 S 3000 E Ste 104
St George, UT 84790-1801

Mailing address

2840 Cottonwood Cir
Santa Clara, UT 84765-5594
Phone (208) 431-0211

National Provider Directory

National Provider Directory
Tax ID family
Fortify Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1184290348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 COTTONWOOD CIR",
            "city": "SANTA CLARA",
            "state": "UT",
            "postal_code": "847655594",
            "telephone_number": "208-431-0211",
            "fax_number": "435-355-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 S 3000 E STE 104",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901801",
            "telephone_number": "208-431-0211",
            "fax_number": "435-355-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIFY PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-431-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.