Active NPI
Kathrin Bires Fortner, PT
- Pediatric Physical Therapist
- Bremerton, WA
National Provider Identifier
1942358239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT00002532
- Practice address
- 5112 NW Taylor Rd
Bremerton, WA 98312-8837 - Phone
- (360) 373-2536
- Fax
- (360) 373-4934
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT00002532 | WA | Primary |
Addresses
Primary practice location
5112 NW Taylor Rd
Bremerton, WA 98312-8837
Mailing address
5112 NW Taylor Rd
Bremerton, WA 98312-8837
Phone (360) 373-2536
Other names 1
- Miss Kathrin Louise Bires
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00002532 | WA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holly Ridge Center | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942358239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5112 NW TAYLOR RD",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983128837",
"telephone_number": "360-373-2536",
"fax_number": "360-373-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5112 NW TAYLOR RD",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983128837",
"telephone_number": "360-373-2536",
"fax_number": "360-373-4934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTNER",
"first_name": "KATHRIN",
"middle_name": "BIRES",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WA",
"license": "PT00002532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRIN",
"last_name": "BIRES",
"middle_name": "LOUISE",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.