Active NPI
Fortunato Ignacio, OTR/L
- Occupational Therapist
- Fort Washington, MD
National Provider Identifier
1245711324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 03782
- Practice address
- 12021 Livingston Rd
Ft Washington, MD 20744-4210 - Phone
- (301) 292-0300
- NPI assigned
- Aug 27, 2018
- Last updated
- Aug 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 03782 | MD | Primary |
Addresses
Primary practice location
12021 Livingston Rd
Ft Washington, MD 20744-4210
Mailing address
12021 Livingston Rd
Fort Washington, MD 20744-4210
Phone (301) 292-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03782 | Other | MD | MARYLAND BOARD OF OCCUPATIONAL THERAPY |
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 |
|---|---|---|---|
| 03782 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1245711324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12021 LIVINGSTON RD",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444210",
"telephone_number": "301-292-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 LIVINGSTON RD",
"city": "FT WASHINGTON",
"state": "MD",
"postal_code": "207444210",
"telephone_number": "301-292-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGNACIO",
"first_name": "FORTUNATO",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "03782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF OCCUPATIONAL THERAPY",
"identifier": "03782",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, MD
- Audrenik Howard
- Kelly Hughes, PMHNP
- Marion Lashan Hussein
- Pamela Veronica Hymes, DDS
- ICU Physicians, PC
- Imelda Cabalar, MD, LLC
- Innovative MWLM LLC (Innovative Healthcare Centers)
- Innovative Physical Therapy and Fitness Centers, LLC (Innovative Healthcare Centers)
- Innovative Solutions 4 U Inc
- Innovative Solutions 4 U Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.