Michael G Fortanasce, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT9651 Issued in CA

Practice address

925 W Foothill Blvd Ste B
Monrovia, CA 91016-6603

Phone

(323) 999-7770

Fax

(323) 999-7796

NPI assigned

Jun 17, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fortanasce & Associates Sports Medicine and Physical Therapy

  • Orthopedic Physical Therapist
  • La Verne, CA
  • NPI 1114952231
  NPD (past) Authorized official
• Forte Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Monrovia, CA
  • NPI 1477077204
  Authorized official Same address or phone

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255376265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 LOHMAN LN",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302906",
            "telephone_number": "323-999-7770",
            "fax_number": "323-999-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W FOOTHILL BLVD STE B",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910166603",
            "telephone_number": "323-999-7770",
            "fax_number": "323-999-7796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Lohman Ln",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910302906",
            "country_code": "US",
            "telephone_number": "323-999-7770",
            "fax_number": "323-999-7796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTANASCE",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Formanes
• Lucas Formica
• Vanessa Ione Fornasier
• Natalie Fornieri
• Brandee Fort
• Forte Physical Therapy, P.C.
• Austin Fortenberry
• Destiny Fortes
• Veronica Fortiz
• Leilani Fortuny

• Physical Therapist in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.