Active NPI
Rebecca Fortune
- Physical Therapy Assistant
- Newton, NC
National Provider Identifier
1437624707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 6688
- Practice address
- 102 Leonard Ave
Newton, NC 28658-9649 - Phone
- (877) 637-7941
- NPI assigned
- Oct 12, 2018
- Last updated
- Oct 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 6688 | NC | Primary |
Addresses
Primary practice location
102 Leonard Ave
Newton, NC 28658-9649
Mailing address
289 Corona Cir
Mooresville, NC 28117-4380
Phone (704) 953-5268
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 |
|---|---|---|---|
| 6688 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1437624707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 CORONA CIR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281174380",
"telephone_number": "704-953-5268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 LEONARD AVE",
"city": "NEWTON",
"state": "NC",
"postal_code": "286589649",
"telephone_number": "877-637-7941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTUNE",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-12",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "6688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, NC
- Tisha Brittain Fisher, FNP-C
- Kelley Flanagan, COTA/L
- Dustin Ford, FNP
- Alan Gray Forshey, M.D.
- Amber Nicole Fortenberry, FNP
- Angie Mooney Foster, PT, MS
- Charles William Frankhouser, M.D.
- David Benjamin Gaddis, DDS
- Shatazamine Shannette Galloway, AGPCNP-C
- Gaston Family Health Services, Inc (Kintegra at Blackburn Elementary)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.