Fortitude Sport & Spine

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

FORTITUDE SPORT & SPINE

Practice address

878 Dancing Vines Ave
Las Vegas, NV 89183-6317

Phone

(702) 449-9751

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Godfrey, DCNPI 1235632878

Title

Medical Director

Phone

(702) 449-9751

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Godfrey, DC

  • Chiropractor
  • Henderson, NV
  • NPI 1235632878
  NPD Authorized official

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1346854007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 DANCING VINES AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836317",
            "telephone_number": "702-449-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 DANCING VINES AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836317",
            "telephone_number": "702-449-9751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8475 S Eastern Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232863",
            "country_code": "US",
            "telephone_number": "702-898-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORTITUDE SPORT & SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-449-9751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maylisa Forte
• Rashida Forte, PHARMD
• Sterling Forte
• Elizabeth Forteza- Rodriguez
• James V Fortier
• Bakari Maalik Fortman
• Nicholas Stephen Fortna, DO
• Darryl L Fortson, M D
• Kiashalon Jhane Fortson
• Nakia Lashay Fortson

• Medical Specialty Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Specialty Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.