La Fortaleza Physical Therapy Center Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LA FORTALEZA PHYSICAL THERAPY CENTER INC

Practice address

205 1St St S Ste 103-104
Winter Haven, FL 33880-3255

Phone

(863) 875-8355

NPI assigned

Jan 26, 2022

Last updated

Jan 26, 2022By 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

Luis HincapieNPI 1134268600

Title

Director

Phone

(215) 455-5370

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Luis Guillermo Hincapie, MPT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1134268600
  Authorized official Same address or phone

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1760134126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402717",
            "telephone_number": "215-455-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 1ST ST S STE 103-104",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803255",
            "telephone_number": "863-875-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FORTALEZA PHYSICAL THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "HINCAPIE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-455-5370"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consuelo Krueger-Gerstorff
• KSC Cardiology PA
• David Kunberger
• Leah Anna Kuruvilla, FNP-C
• La Foi Home Care Services
• Nydialis La Santa Medina
• Lab2Doors
• Amanda Labarge, DC
• Richard Lacalamito, DO
• Alina Ladha, MD

• Physical Therapist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.