Active NPI
Mark A Fortney, L.AC.
- Acupuncturist
- Philadelphia, PA
National Provider Identifier
1336509793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AK001482
- Practice address
- 2308 Grays Ferry Ave
Philadelphia, PA 19146-1177 - Phone
- (215) 772-0770
- Fax
- (215) 772-0770
- NPI assigned
- Feb 28, 2016
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AK001482 | PA | Primary |
Addresses
Primary practice location
2308 Grays Ferry Ave
Philadelphia, PA 19146-1177
Mailing address
744 S Chadwick St
Philadelphia, PA 19146-2023
Phone (828) 280-0497
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 |
|---|---|---|---|
| AK001482 | PA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Six Fishes Acupuncture | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Philadelphia, PA
- NPI 1275081648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1336509793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 S CHADWICK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191462023",
"telephone_number": "828-280-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 GRAYS FERRY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191461177",
"telephone_number": "215-772-0770",
"fax_number": "215-772-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTNEY",
"first_name": "MARK",
"middle_name": "A",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-28",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK001482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.