Emily Fortner Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EMILY FORTNER PHYSICAL THERAPY, PLLC

Practice address

2815 43Rd St
Gig Harbor, WA 98335-1771

Phone

(253) 970-9193

NPI assigned

Mar 29, 2024

Organization subpart

No

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

Authorized official

Name

Emily Fortner, PT60022073NPI 1396908307

Title

Owner

Phone

(253) 229-5033

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Christine Fortner, PT60022073

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1396908307
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1811748668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 43RD ST",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351771",
            "telephone_number": "253-970-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 43RD ST",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351771",
            "telephone_number": "253-970-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY FORTNER PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "FORTNER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-229-5033",
        "authorized_official_credential": "PT60022073"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT60022073",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396908307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathryn Elvins, OTR L
• Adam Elwir
• Kristin Emel, LMP
• Robert S Emerick, MD
• Emeritus Corporation (Brookdale Gig Harbor)
• Thomas Emiren, DPT
• Katrina Herrmann Emoto, N.D.
• Debra M. Enneking, DDS
• Gregory Mark Ennis, M.D.
• Karen Enstrom, RN

• Physical Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.