NPIMap

Organization Active NPI

La Fortaleza Physical Therapy Inc

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1609170679
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-009127L Issued in PA
Legal business name
LA FORTALEZA PHYSICAL THERAPY INC
Practice address
3251 Cedar St
Philadelphia, PA 19134-4514
Phone
(215) 427-2242
Fax
(215) 427-2433
NPI assigned
Jan 5, 2011
Organization subpart
Yes
Parent organization
LA FORTALEZA PHYSICAL THERAPY CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Luis Hincapie, MPTNPI 1134268600
Title
Director
Phone
(215) 778-3988

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT-009127L PA Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X PT-009127L PA

Addresses

Primary practice location

3251 Cedar St
Philadelphia, PA 19134-4514

Mailing address

133 W Hunting Park Ave
Philadelphia, PA 19140-2717
Phone (215) 455-5370

Other identifiers 1

IdentifierTypeStateIssuer
0017400900003MedicaidPA

Other names 1

  • La Fortaleza Occupational Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
La Fortaleza Physical Therapy Center Inc4 organizations share this tax ID, including this one
Part of
La Fortaleza Physical Therapy Center Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1609170679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402717",
            "telephone_number": "215-455-5370",
            "fax_number": "215-427-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 CEDAR ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344514",
            "telephone_number": "215-427-2242",
            "fax_number": "215-427-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FORTALEZA PHYSICAL THERAPY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA FORTALEZA PHYSICAL THERAPY CENTER INC",
        "enumeration_date": "2011-01-05",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "HINCAPIE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-778-3988",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-009127L",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "PT-009127L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017400900003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Fortaleza Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Fortaleza Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.