Organization Active NPI

Fortify Physical Therapy and Wellness LLC

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1376327650
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FORTIFY PHYSICAL THERAPY AND WELLNESS LLC
Practice address
17423 Emerald Canyon Dr
San Antonio, TX 78232-5633
Phone
(407) 455-3534
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Dr. Erica Parazo, PT, DPT
Title
Physical Therapist
Phone
(407) 455-3534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

17423 Emerald Canyon Dr
San Antonio, TX 78232-5633

Mailing address

17423 Emerald Canyon Dr
San Antonio, TX 78232-5633
Phone (407) 455-3534

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1376327650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17423 EMERALD CANYON DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325633",
            "telephone_number": "407-455-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17423 EMERALD CANYON DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325633",
            "telephone_number": "407-455-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIFY PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A",
        "authorized_official_last_name": "PARAZO",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "407-455-3534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.