Active NPI
Maura Fortin, PTA
- Physical Therapy Assistant
- Mills River, NC
National Provider Identifier
1235754193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A7078
- Practice address
- 4687 Boylston Hwy
Mills River, NC 28759-6731 - Phone
- (828) 890-0040
- NPI assigned
- Jun 16, 2020
- Last updated
- Jun 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A7078 | NC | Primary |
Addresses
Primary practice location
4687 Boylston Hwy
Mills River, NC 28759-6731
Mailing address
22 Hardie CT
Hendersonville, NC 28792-0104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A7078 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1235754193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 HARDIE CT",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287920104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4687 BOYLSTON HWY",
"city": "MILLS RIVER",
"state": "NC",
"postal_code": "287596731",
"telephone_number": "828-890-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTIN",
"first_name": "MAURA",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A7078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mills River, NC
- Katie Beth Fischer, MS, RD, LDN
- Fletcher Hospital Inc (AdventHealth Medical Group Family Medicine at Forge Mountain)
- Fletcher Hospital Inc (AdventHealth Medical Group Family Medicine at Mills River)
- Dedra M Forbes, EDD, CCBT, MS/MA
- Forge Mountain Medicine, PLLC
- Generation Clinical Partners LLC
- Laura Lee Gross, DC
- Joshua Shawn Heath, PT, DPT
- Henderson County Hospital Corporation (Pardee BlueMD-3334 Boylston Highway, Suite 20)
- Henderson County Hospital Corporation (Pardee BlueMD-156 Cross Road Drive)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.