FORTANASCE & ASSOCIATES SPORTS MEDICINE AND PHYSICAL THERAPY (NPI# 1114952231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114952231 |
| Entity Type | Organization |
| Organization Name | FORTANASCE & ASSOCIATES SPORTS MEDICINE AND PHYSICAL THERAPY |
| Practice Address |
1275 Foothill Blvd La Verne CA 91750 |
| Mailing Address |
671 Naomi Avenue Arcadia CA 91007 |
| Practice Telephone | 9095931200 |
| Practice Fax Number | 9095931899 |
| Mailing Telephone | 6264467027 |
| Mailing Fax Number | 6264464723 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL G FORTANASCE (OWNER PRESIDENT) |
| Authorized Official Telephone | 6264467027 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
00000 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1275 FOOTHILL BLVD |
| City | LA VERNE |
| State | CA |
| Zip Code | 91750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538103452 | Monica A Cummings | Physical Therapist | 1275 Foothill Blvd, La Verne, CA 91750 | 2006-06-15 |
| 1740225739 | Jason Yonemoto | Physical Therapist | 1275 Foothill Blvd, La Verne, CA 91750 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893324 | Alexis Ashley Andom | Occupational Therapist | 2061 Wright Ave., La Verne, CA 91750 | 2020-02-19 |
| 1952810855 | Wendy P Marrufo | Physical Therapist | 2590 Hayes Drive, La Verne, CA 91750 | 2017-09-22 |
| 1770006009 | Lineth Fiorella Florian | Family Medicine | 2333 Foothill Blvd, La Verne, CA 91750 | 2017-07-18 |
| 1205204765 | Heather Amanda Jantz Garcia | Specialist | 2061 Wright Avenue, Suite A-7, La Verne, CA 91750 | 2015-09-14 |
| 1255779864 | Carla Ureno | Counselor | 911 Herbine Street, La Verne, CA 91750 | 2013-06-06 |
| 1538459011 | Sameer K Hassamal | Psychiatry & Neurology | 4201 Hartshorn Ranch Pl, La Verne, CA 91750 | 2011-04-18 |
| 1134351695 | Robin Lorinne Clarkson | Physical Therapist | 2125 Wright Avenue, Ste C1, La Verne, CA 91750 | 2009-08-18 |
| 1477784767 | Sb Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 781 Canyon View Dr, Laverne, CA 91750 | 2009-08-04 |
| 1295978872 | Vi Hung Ly | Chiropractor | 1145 Foothill Blvd., La Verne, CA 91750 | 2009-04-13 |
| 1700906138 | Laura Nazaryan | Physical Therapist | 2123 Foothill Blvd Ste D, La Verne, CA 91750 | 2007-03-30 |
| Find all providers in zip 91750 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431473 | Garrett Masada | Physical Therapist | 2123 Foothill Blvd Ste D, La Verne, CA 91750-2954 | 2019-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FORTANASCE & ASSOCIATES SPORTS MEDICINE AND PHYSICAL THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.