Lorenz Fortune Fortuno, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305202501 Issued in VA

Practice address

7724 Hayfield Rd
Alexandria, VA 22315-4052

Phone

(571) 594-4615

Fax

(703) 971-2069

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nova Sports and Spine Physical Therapy

  • Physical Therapy Clinic/Center
  • Alexandria, VA
  • NPI 1730536525
  NPD (past) Authorized official

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1982609541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7724 HAYFIELD RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154052",
            "telephone_number": "571-594-4615",
            "fax_number": "703-971-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7724 HAYFIELD RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154052",
            "telephone_number": "571-594-4615",
            "fax_number": "703-971-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNO",
        "first_name": "LORENZ",
        "middle_name": "FORTUNE",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19525",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "46950048",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debora Alis Forrester
• Ana Forsberg
• Frances Kay Forsythe, NP
• Frank Fortier, PA-C
• Fortitude Wellness Collective, LLC
• Forward Focus ABA VA LLC
• Forward Steps Therapy PLLC
• Lauren Foster, OTR/L OTD
• Chancellor Eugene Foulks, DC
• Foundations Physical Therapy, LLC

• Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.