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FORTUNA MEDICAL GROUP PHYSICAL THERAPY & REHAB NPI 1730627175


NPI Information

NPI: 1730627175
Provider Name: FORTUNA MEDICAL GROUP PHYSICAL THERAPY & REHAB

Doing Business As: FORTUNA MEDICAL GROUP PHYSICAL THERAPY & REHAB

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
11510 S FORTUNA RD
SUITE A
YUMA, AZ
ZIP 85367
Phone: (928) 342-7046
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FORTUNA MEDICAL GROUP PHYSICAL THERAPY & REHAB is a specialist in Yuma, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FORTUNA MEDICAL GROUP PHYSICAL THERAPY & REHAB NPI is 1730627175. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Fortuna Medical Group Physical Therapy & Rehab.

The provider's business location address is:

11510 S FORTUNA RD
SUITE A
YUMA, AZ
ZIP 85367-886
Phone: (928) 342-7046
Fax: (928) 342-7018

The provider's authorized official is Oswald Lopez .
The authorized official title is President and has the following contact phone number (928) 342-7046.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 2/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist158ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z188991MEDICARE PINARIZONA
2142905MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.