Individual provider Active NPI

Dori Fortunato, DAOM, LIC. AC. LMT

  • Acupuncturist
  • Bridgehampton, NY
National Provider Identifier
1447657192
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25005472 Issued in NY
Practice address
2228 Montauk Hwy
Bridgehampton, NY 11932-4001
Phone
(631) 500-5452
NPI assigned
Nov 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 27027339 NY
Acupuncturist 171100000X 25005472 NY Primary

Addresses

Primary practice location

2228 Montauk Hwy
Bridgehampton, NY 11932-4001

Mailing address

PO Box 1142
Shelter Island Heights, NY 11965-1142
Phone (631) 374-2728

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

LicenseStateTypeSpecialty
25005472NYMDAcupuncturist
27027339NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lila Holistics Inc. Acupuncturist CurrentSince Sep 14, 2025 Accepting new patients
Dori Fortunato Acupuncture and Massage Therapy, PC Acupuncturist CurrentSince Sep 14, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1447657192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1142",
            "city": "SHELTER ISLAND HEIGHTS",
            "state": "NY",
            "postal_code": "119651142",
            "telephone_number": "631-374-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 MONTAUK HWY",
            "city": "BRIDGEHAMPTON",
            "state": "NY",
            "postal_code": "119324001",
            "telephone_number": "631-500-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNATO",
        "first_name": "DORI",
        "name_prefix": "Dr.",
        "credential": "DAOM, LIC. AC. LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "27027339",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25005472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgehampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.