Individual provider Active NPI

Talayna I Fortunato, MSPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1619202991
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25009 Issued in FL
Practice address
2546 Northbrooke Plaza Dr
Naples, FL 34119-8095
Phone
(239) 653-9586
Fax
(239) 653-9587
NPI assigned
Oct 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT25009 FL Primary

Addresses

Primary practice location

2546 Northbrooke Plaza Dr
Naples, FL 34119-8095

Mailing address

2546 Northbrooke Plaza Dr
Naples, FL 34119-8095
Phone (239) 653-9586

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Naples Physical Therapy Inc Physical Therapist PastSince Feb 15, 2003 Accepting new patients
Performance Physical Therapy of Naples Physical Therapist PastSince Apr 1, 2004 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": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1619202991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 NORTHBROOKE PLAZA DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198095",
            "telephone_number": "239-653-9586",
            "fax_number": "239-653-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 NORTHBROOKE PLAZA DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198095",
            "telephone_number": "239-653-9586",
            "fax_number": "239-653-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNATO",
        "first_name": "TALAYNA",
        "middle_name": "I",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.