Cynthia J Fortune, P.T.

Individual provider Active NPI Physical Therapist · Tell City, IN

NPI 1982900882 · NPPES record last updated Jun 24, 2019

Key facts

NPI
1982900882
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
05003826A (IN)
Practice address
1020 11TH St
Suite C
Tell City, IN 47586-2130
Phone
(812) 547-7770
Fax
(812) 547-7784
NPI assigned
Feb 10, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
05003826AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehabilitation,Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05003826A IN Yes

Addresses

Primary practice location

1020 11TH St
Suite C
Tell City, IN 47586-2130

Mailing address

1020 11TH St
Suite C
Tell City, IN 47586-2130
Phone (812) 547-7770

Other identifiers

IdentifierTypeStateIssuer
05003826AOtherINPHYSICAL THERAPY LICENSE

Other names

  • Cynthia J Johnon Other name

Other providers in Tell City, IN

All providers in Tell City, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.