Christopher Joseph Fortman, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08532 Issued in OH

Practice address

3477 S Dixie Hwy
Lima, OH 45804-3755

Phone

(419) 331-2161

Fax

(419) 227-7767

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Superior Rehab, LLC

  • Physical Therapy Clinic/Center
  • Lima, OH
  • NPI 1114042116
  NPD (past) Authorized official
• Midwest Rehab Inc

  • Physical Therapist
  • Ada, OH
  • NPI 1588787154
  NPD (past)
• Specialized Therapy Services, LLC

  • Physical Therapist
  • Lima, OH
  • NPI 1962613687
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1487779567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 S DIXIE HWY",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043755",
            "telephone_number": "419-331-2161",
            "fax_number": "419-227-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 S DIXIE HWY",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043755",
            "telephone_number": "419-331-2161",
            "fax_number": "419-227-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "08532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2619143",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000365466",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PT NUMBER",
            "identifier": "0812438",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Forlenza III, DO
• Felicia Forrest
• Kerry Andrew Forrestal, MD
• Brandi R Fort
• Robin L Fortkamp, RD, LD
• Karen Rose Fortman, RPH
• Kimberly Ann Fossa Avalos
• Sirin Foster, CNP
• Teaira Foster
• Farzin Fotouhi, M.D.

• Physical Therapist in Lima, OH
• Providers in Lima, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.