Organization Active NPI

Fortis Therapy Center

  • Physical Therapist
  • Dripping Springs, TX
National Provider Identifier
1720722176
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FORTIS THERAPY CENTER
Practice address
120 Frog Pond LN Ste 2
Dripping Springs, TX 78620-4538
Phone
(512) 829-4485
NPI assigned
Apr 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Matt Marchant
Title
Executive Director
Phone
(512) 965-4128

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

120 Frog Pond LN Ste 2
Dripping Springs, TX 78620-4538

Mailing address

245 N Sage Holw
Dripping Springs, TX 78620-5520
Phone (512) 965-4128

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmarchant@fortistherapycenter.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220624001957 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375922164 Receives reassigned benefits from 2 practitioners
Practice locations: Dripping Springs, TX

National Provider Directory

National Provider Directory

Locations

120 Frog Pond Ln
Ste 2
Dripping Springs, TX 78620
Phone (512) 829-4485

Practitioners & affiliated clinicians

Practitioners 2

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": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1720722176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N SAGE HOLW",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786205520",
            "telephone_number": "512-965-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FROG POND LN STE 2",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786204538",
            "telephone_number": "512-829-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIS THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "MARCHANT",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-965-4128"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmarchant@fortistherapycenter.org",
            "affiliation": "N",
            "endpointDescription": "Fortis Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 Frog Pond Ln Ste 2",
            "city": "Dripping Springs",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786204538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dripping Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.