Fortis Therapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

LCSW Issued in WY

Legal business name

FORTIS THERAPY LLC

Practice address

1949 Sugarland Dr Ste 221
Sheridan, WY 82801-5766

Phone

(307) 675-1275

Fax

(307) 675-1276

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Andi K Bell, LCSWNPI 1366698292

Title

Provider/Owner

Phone

(307) 675-1275

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

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

• Andi K Bell, LCSW

  • Clinical Social Worker
  • Sheridan, WY
  • NPI 1366698292
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1629575253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DR STE 221",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015766",
            "telephone_number": "307-675-1275",
            "fax_number": "307-675-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DR STE 221",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015766",
            "telephone_number": "307-675-1275",
            "fax_number": "307-675-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "ANDI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "307-675-1275",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WY",
            "license": "LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130795900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foot Care Center LLC
• John Paul Ford, DO
• Forge Physio & Performance LLC
• Brandon Michael Forister, PT, DPT
• Emily R Forni
• Foundations for Living Whole, LLC
• Ben C Fowler, O.D.
• Krista Jean Frank, APRN, FNP-C
• Rebecca Franklund, M.D.
• Erica Frazier, MSN, APRN, PMHNP-BC

• Adult Mental Health Clinic/Center in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Adult Mental Health Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.