NPIMap

Organization Active NPI

Fortitude Movement & Strength PLLC

  • Physical Therapy Clinic/Center
  • Lake Stevens, WA
National Provider Identifier
1225601792
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FORTITUDE MOVEMENT & STRENGTH PLLC
Practice address
2924 100TH Ave NE
Lake Stevens, WA 98258-9813
Phone
(425) 205-0821
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Dr. Robert Jeremy Kirschner, PT, DPT, ATC, CSCSNPI 1770041600
Title
Owner, Operator
Phone
(706) 294-0170

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

2924 100TH Ave NE
Lake Stevens, WA 98258-9813

Mailing address

2924 100TH Ave NE
Lake Stevens, WA 98258-9813
Phone (425) 205-0821

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://pteverywhere.com/PtE/s/fortitudemovement/register Direct

National Provider Directory

National Provider Directory

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": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1225601792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 100TH AVE NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589813",
            "telephone_number": "425-205-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 100TH AVE NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589813",
            "telephone_number": "425-205-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE MOVEMENT & STRENGTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "KIRSCHNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER, OPERATOR",
        "authorized_official_telephone_number": "706-294-0170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pteverywhere.com/PtE/s/fortitudemovement/register",
            "affiliation": "N",
            "endpointDescription": "secure EMR website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "2924 100th Ave NE",
            "city": "Lake Stevens",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982589813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.