Active NPI
Fortify Physical Therapy and Wellness LLC
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1376327650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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.