Organization Active NPI

Fortify Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1578195004
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FORTIFY PHYSICAL THERAPY PC
Practice address
129 W 29TH St FL 2
New York, NY 10001-5192
Phone
(646) 822-9461
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Alicia Ferriere, DPTNPI 1942681929
Title
President
Phone
(973) 525-4347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

129 W 29TH St FL 2
New York, NY 10001-5192

Mailing address

148 College PL
South Orange, NJ 07079-2506
Phone (973) 525-4347

Other identifiers 1

IdentifierTypeStateIssuer
038896OtherNYLICENSE

Other names 1

  • Fortify Physical Therapy PC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1578195004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 COLLEGE PL",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792506",
            "telephone_number": "973-525-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W 29TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015192",
            "telephone_number": "646-822-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIFY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "FERRIERE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-525-4347",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "038896",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortify Physical Therapy PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Fortify Physical Therapy PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.