Organization Active NPI

Fortress Physical Therapy, LLC

  • Physical Therapist
  • Pineville, NC
National Provider Identifier
1215724901
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FORTRESS PHYSICAL THERAPY, LLC
Practice address
10000 Pineville Matthews Rd
Pineville, NC 28134-7552
Phone
(980) 272-8044
NPI assigned
Apr 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Dr. Amy N Bullock, PT, DPTNPI 1285067504
Title
Ceo/Owner
Phone
(304) 374-7228

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10000 Pineville Matthews Rd
Pineville, NC 28134-7552

Mailing address

10000 Pineville Matthews Rd
Pineville, NC 28134-7552
Phone (980) 272-8044

National Provider Directory

National Provider Directory

Locations

10000 Pineville Matthews Rd
Pineville, NC 28134
Phone (980) 272-8044

Practitioners & affiliated clinicians

Practitioners 1

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": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1215724901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 PINEVILLE MATTHEWS RD",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281347552",
            "telephone_number": "980-272-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 PINEVILLE MATTHEWS RD",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281347552",
            "telephone_number": "980-272-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTRESS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "304-374-7228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.