Individual provider Active NPI

Christine M Fortuna, OTR/L

  • Occupational Therapist
  • Carnegie, PA
National Provider Identifier
1780298935
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC017093 Issued in PA
Practice address
800 N Bell Ave Ste 200
Carnegie, PA 15106-4330
Phone
(440) 567-6274
Fax
(412) 722-0762
NPI assigned
Sep 4, 2020
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC017093 PA Primary

Addresses

Primary practice location

800 N Bell Ave Ste 200
Carnegie, PA 15106-4330

Mailing address

800 N Bell Ave Ste 200
Carnegie, PA 15106-4330
Phone (440) 567-6274

Other practice location 1

111 Woody Dr
Butler, PA 16001-7603
Phone (724) 287-1000

Other practice location 2

1 Nolte Dr Ste 720
Kittanning, PA 16201-7111
Phone (724) 548-1395

Other identifiers 1

IdentifierTypeStateIssuer
103847965MedicaidPA

Other names 1

  • Christine M Fortuna Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201021002395 PA Practitioner - Occupational Therapist in Private Practice 5991125437 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC017093PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PA Connecting Communities Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Coordinated Kidney Care Group, Inc. Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Elemental OT, LLC Single Specialty Current Accepting new patients
PA Connecting Communities Current Accepting new patients

Locations

111 Woody Dr
Butler, PA 16001
Phone (724) 287-1000

564 Washington Ave
Carnegie, PA 15106
Phone (412) 621-6151

1 Nolte Dr
Bldg 700
Kittanning, PA 16201
Phone (412) 489-1980

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1780298935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N BELL AVE STE 200",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151064330",
            "telephone_number": "440-567-6274",
            "fax_number": "412-722-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N BELL AVE STE 200",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151064330",
            "telephone_number": "440-567-6274",
            "fax_number": "412-722-0762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Woody Dr",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160017603",
            "country_code": "US",
            "telephone_number": "724-287-1000",
            "fax_number": "724-548-1396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Nolte Dr Ste 720",
            "address_purpose": "LOCATION",
            "city": "Kittanning",
            "state": "PA",
            "postal_code": "162017111",
            "country_code": "US",
            "telephone_number": "724-548-1395",
            "fax_number": "724-548-1396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTUNA",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC017093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103847965",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "FORTUNA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carnegie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.