Sandra Jo Fortmann, M.S., OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

1234 Hunters RDG E
Hoffman Estates, IL 60192-4541

Phone

(847) 429-9615

Fax

(847) 429-9615

NPI assigned

Feb 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730227331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 HUNTERS RDG E",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924541",
            "telephone_number": "847-429-9615",
            "fax_number": "847-429-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 HUNTERS RDG E",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924541",
            "telephone_number": "847-429-9615",
            "fax_number": "847-429-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTMANN",
        "first_name": "SANDRA",
        "middle_name": "JO",
        "credential": "M.S., OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "01634781",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forest View Podiatry Center
• Karl Stephen Forgeron, D.C.
• Alexander Forowycz, M.D.
• Forrest Behavioral Health LLC
• Katie Forsythe, LCPC
• Roland Reginald Fouche Jr.
• Fox Valley Hematology Inc
• Rylee Grace Frake, DC
• Shanell Nicole Franklin
• Nancy Frasch, PTMS

• Pediatric Occupational Therapist in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.