NPIMap

Organization Active NPI

La Fortaleza Physical Therapy Center Inc

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1619785789
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LA FORTALEZA PHYSICAL THERAPY CENTER INC
Practice address
11000 Roosevelt Blvd Unit 360
Philadelphia, PA 19116-3961
Phone
(267) 219-5377
NPI assigned
Dec 20, 2024
Organization subpart
Yes
Parent organization
LA FORTALEZA PHYSICAL THERAPY CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Luis Hincapie, PT
Title
Owner
Phone
(215) 455-5370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

11000 Roosevelt Blvd Unit 360
Philadelphia, PA 19116-3961

Mailing address

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1619785789",
    "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": "215-455-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 ROOSEVELT BLVD UNIT 360",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163961",
            "telephone_number": "267-219-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FORTALEZA PHYSICAL THERAPY CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA FORTALEZA PHYSICAL THERAPY CENTER INC",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "HINCAPIE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-455-5370",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 20, 2024; 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.