Karia S Fortune, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00692600 Issued in NJ

Practice address

306 W Somerdale Rd
Voorhees, NJ 08043-2237

Phone

(856) 504-3150

Fax

(856) 504-3157

NPI assigned

Dec 7, 2015

Sex

Female

Sole proprietor

Yes

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 NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mobile Therapy Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1326495615
  Medicare reassignment

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1205201944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SOMERDALE RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432237",
            "telephone_number": "856-504-3150",
            "fax_number": "856-504-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SOMERDALE RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432237",
            "telephone_number": "856-504-3150",
            "fax_number": "856-504-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "KARIA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00692600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Martese Ford, CRNA
• Forkidcare LLC
• Forkidcare, LLC (Voorhees Pediatric Medical Day Care)
• Jeffrey S. Forman, M.D.
• Forsight Brilliance Collaborative
• Dolores Marie Foster, RNFA
• Foundation Research Medical Services, P.C. (University Services)
• Four Walls the 4Walls LLC
• Jane Fowler, P.A.
• Larissa Mae Fox

• Occupational Therapist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.