Ila Doris Fortuna, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00096000 Issued in NJ

Practice address

776 Shrewsbury Ave
Tinton Falls, NJ 07724-3006

Phone

(732) 741-0665

Fax

(732) 741-0668

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ila Doris Wernik Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Orthopaedic Assoc PAGroup PAC ID 5597654475, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Professional Orthopaedic Assoc PA

  • Orthopaedic Surgery Physician
  • Tinton Falls, NJ
  • NPI 1669459855
  Medicare reassignment Care Compare group NPD
• Professional Orthopedics Assoc

  • Physical Therapist
  • Tinton Falls, NJ
  • NPI 1356385900
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1801815378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "address_2": "# S101",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "631-451-3773",
            "fax_number": "631-451-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "732-741-0665",
            "fax_number": "732-741-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNA",
        "first_name": "ILA",
        "middle_name": "DORIS",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00096000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILA",
            "last_name": "WERNIK",
            "middle_name": "DORIS",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alissa Fleming, M.S.,CCC-SLP
• Flex Physical Therapy LLC
• Nicole Flynn, BCBA
• Focus MD Red Bank NJ
• Gregg R Foos, MD
• Andrew Fouchey, APN
• Danielle Fowler, DPT
• David Bernard Fox, M.D.
• Karen G Franco, PT
• Tali Frankfort

• Occupational Therapist in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.