Fortify Physical Therapy PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

FORTIFY PHYSICAL THERAPY PLLC

Practice address

792 S 3000 E
St. George, UT 84790

Phone

(208) 431-0211

NPI assigned

Jan 4, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Layne Harper, PTNPI 1700447612

Title

Owner

Phone

(208) 431-0211

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Tax ID family

Fortify Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fortify Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • St George, UT
  • NPI 1184290348
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Layne Harper, DPT

  • Physical Therapist
  • St George, UT
  • NPI 1700447612
  Medicare reassignment NPD Authorized official
• Joshua Elzey, DPT

  • Physical Therapist
  • South Ogden, UT
  • NPI 1902450893
  Medicare reassignment NPD
• Colbie J Jorgensen, PT

  • Physical Therapist
  • Tigard, OR
  • NPI 1043412000

  UT

  Medicare reassignment NPD

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1730777962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 S 3000 E",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "208-431-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 S 3000 E",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "208-431-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIFY PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-06-22",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-431-0211",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "30238",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "fortifyphysicaltherapy",
            "affiliation": "N",
            "endpointDescription": "secure websites",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "792 S 3000 E",
            "city": "St. George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tayah Forsyth
• Forte Strong
• Margaret Fortenberry
• Fortified Health LLC
• Fortify Physical Therapy PLLC
• Forward Motion Medical Systems Inc
• Jackie Fossum
• Brytnee Foster
• Christine K. Foster, M.D.
• Scott Duane Foster, FNP-C

• Orthopedic Physical Therapist in St George, UT
• Providers in St George, UT by specialty
• Orthopedic Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.