Individual provider Active NPI

Kristin Fortunski, PT, DPT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1912508474
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1307 E Prospect Rd Ste 120
Fort Collins, CO 80525-1191
Phone
(970) 568-8461
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1307 E Prospect Rd Ste 120
Fort Collins, CO 80525-1191

Mailing address

2145 Katahdin Dr
Fort Collins, CO 80525-4712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217001188 CO Practitioner - Physical Therapist in Private Practice 2769897164 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Physical Therapy, Inc Physical Therapist CurrentSince Nov 18, 2020 Accepting new patients

Locations

2121 E Harmony Rd
Unit 310
Fort Collins, CO 80528
Phone (970) 221-3855

1307 E Prospect Rd
Ste 120
Fort Collins, CO 80525
Phone (970) 568-8461

470 Johnson Rd
Ste 100
Washington, PA 15301

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Physical Therapy, Inc 22 clinicians
Adams and Giddings Physical Therapy, PC 5 clinicians

Practice addresses (Care Compare)

1307 E Prospect Rd
Suite 120
Fort Collins, CO 80525-1191
Phone (970) 568-8461

702 W Drake Rd
Suite a
Fort Collins, CO 80526-5555
Phone (970) 416-8342

702 W Drake Rd Building E a
Fort Collins, CO 80526-5555

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1912508474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 KATAHDIN DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E PROSPECT RD STE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251191",
            "telephone_number": "970-568-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNSKI",
        "first_name": "KRISTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.