La Fortaleza Physical Therapy Center Inc.

LBN: La Fortaleza Physical Therapy Center Inc.
La Fortaleza Physical Therapy Center Inc. is an health care organization with primary practice located at 133 W Hunting Park Ave , Philadelphia PA 19140-2717. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. La Fortaleza Physical Therapy Center Inc. can be contacted via phone (215) 455-5370, or through Hincapie, Luis G via phone (215) 455-5370.

Contact Information

Primary practice address
133 W Hunting Park Ave Philadelphia PA 19140-2717
Phone: (215) 455-5370
Fax: (215) 455-5374
Website:
Map and Directions
Authorized official contact:
Name: Hincapie, Luis G Master of Physical Therapy (MPT)
Phone: (215) 455-5370

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-009127L Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X PT-009127L Pennsylvania

Profile Details

NPI number 1285673517
LBN Legal business name La Fortaleza Physical Therapy Center Inc.
DBA Doing business as
Authorized official Hincapie, Luis G Master of Physical Therapy (MPT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 9th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285673517 NPPES
Pennsylvania MEDICAID 0017400900003

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