Active NPI
Andrea Fortunati, MS, ATC, LMT
- Massage Therapist
- Boston, MA
National Provider Identifier
1730625385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18314
- Practice address
- 10 Thacher St
Boston, MA 02113-1748 - Phone
- (617) 982-3868
- NPI assigned
- Jan 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 3954 | MA | |
| Massage Therapist | 225700000X | 18314 | MA | Primary |
Addresses
Primary practice location
10 Thacher St
Boston, MA 02113-1748
Mailing address
10 Thacher St
Boston, MA 02113-1748
Phone (617) 982-3868
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3954 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1730625385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 THACHER ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021131748",
"telephone_number": "617-982-3868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 THACHER ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021131748",
"telephone_number": "617-982-3868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTUNATI",
"first_name": "ANDREA",
"credential": "MS, ATC, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-06",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "3954",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "18314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.