NPIMap

Organization Active NPI

Fortitude Physical Therapy, LLC

Doing business as Fortitude Physical Therapy

  • Physical Therapy Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1538614532
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FORTITUDE PHYSICAL THERAPY, LLC
Doing business as
Fortitude Physical Therapy
Practice address
606 Foresight Cir E
Grand Junction, CO 81505-1012
Phone
(719) 685-8951
Fax
(719) 685-8958
NPI assigned
Aug 19, 2016
Last updated
Mar 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Bartolome Esmas
Title
Assistant Administrator
Phone
(720) 214-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

606 Foresight Cir E
Grand Junction, CO 81505-1012

Mailing address

9208 Grand Cordera Pkwy
Colorado Springs, CO 80924-7022
Phone (719) 522-2000

Other names 1

  • Fortitude Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180302000617 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648531871 Receives reassigned benefits from 5 practitioners
Practice locations: Parker, CO; Pueblo, CO; Greeley, CO; Denver, CO; Colorado Springs, CO
O20251230001008 KS Part B Supplier - Clinic/Group Practice 0648531871 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

606 Foresight Cir E
Grand Junction, CO 81505
Phone (970) 985-7900

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1538614532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9208 GRAND CORDERA PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247022",
            "telephone_number": "719-522-2000",
            "fax_number": "719-522-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 FORESIGHT CIR E",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051012",
            "telephone_number": "719-685-8951",
            "fax_number": "719-685-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "ESMAS",
        "authorized_official_first_name": "BARTOLOME",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "720-214-7777"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortitude Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.