Active NPI
Jessica Denise Fortune, DPT
- Physical Therapist
- Laurinburg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047491
- Practice address
- 620 Johns Rd
Laurinburg, NC 28352-5128 - Phone
- (910) 276-8400
- NPI assigned
- Sep 24, 2021
- Last updated
- Apr 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P23923 | NC | |
| Physical Therapist | 225100000X | 047491 | NY | Primary |
Addresses
Primary practice location
620 Johns Rd
Laurinburg, NC 28352-5128
Mailing address
20 Lake St
Tupper Lake, NY 12986-1604
Phone (518) 524-2603
Other practice location 1
2568 Ny-212
Woodstock, NY 12498
Phone (845) 679-9767
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fortuj2@sage.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 Pinehurst Ave
Southern Pines, NC 28387-7051
Phone (910) 603-2788
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P23923 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Apexnetwork New Mexico, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
140 E Highway 550
Ste E3
Bernalillo, NM 87004
Phone (505) 404-8652
204 W Broadway Ave
#A
Bloomfield, NM 87413
Phone (505) 333-7217
Organizations & group practices 3
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.
-
- Physical Therapist
- Cary, NC
- NPI 1558598532
-
- Physical Therapist
- Anchorage, AK
- NPI 1437214459
-
- Physical Therapist
- Gallup, NM
- NPI 1871917740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1982375358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 LAKE ST",
"city": "TUPPER LAKE",
"state": "NY",
"postal_code": "129861604",
"telephone_number": "518-524-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHNS RD",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283525128",
"telephone_number": "910-276-8400"
}
],
"practiceLocations": [
{
"address_1": "2568 NY-212",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "NY",
"postal_code": "12498",
"country_code": "US",
"telephone_number": "845-679-9767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORTUNE",
"first_name": "JESSICA",
"middle_name": "DENISE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-24",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P23923",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047491",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fortuj2@sage.edu",
"affiliation": "N",
"endpointDescription": "Professional email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2568 NY-212",
"city": "Woodstock",
"state": "NY",
"country_code": "US",
"postal_code": "12498",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Laurinburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.