| Fortis Therapy Llc | |
|
4334 Nw Expressway Ste 176 Oklahoma City OK 73116-1550 | |
| (405) 602-3295 | |
| (405) 602-3297 |
| Full Name | Fortis Therapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4334 Nw Expressway Ste 176, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Christopher Paul Edwards (CEO/OWNER) |
| Authorized Official Contact | 4056023295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortis Therapy Llc 4334 Nw Expressway Ste 176 Oklahoma City OK 73116-1550 Ph: (405) 602-3295 | Fortis Therapy Llc 4334 Nw Expressway Ste 176 Oklahoma City OK 73116-1550 Ph: (405) 602-3295 |
| NPI Number | 1962708883 |
|---|---|
| Provider Enumeration Date | 02/10/2011 |
| Last Update Date | 02/10/2011 |
| Medicare PECOS PAC ID | 6709035330 |
|---|---|
| Medicare Enrollment ID | O20120925000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962708883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mary P Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235167057 PECOS PAC ID: 3577504711 Enrollment ID: I20050608000269 |
| Provider Name | Margaret A Plummer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407976715 PECOS PAC ID: 5092870162 Enrollment ID: I20090224000747 |
| Provider Name | Shelley G Simon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336382217 PECOS PAC ID: 0941458673 Enrollment ID: I20120921000015 |
| Provider Name | Viola Luna Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245562370 PECOS PAC ID: 4880832849 Enrollment ID: I20130603000427 |
| Provider Name | Gaybra L Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144562471 PECOS PAC ID: 9133367881 Enrollment ID: I20130607000565 |
| Provider Name | Jamie Jon Vanbeber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720148695 PECOS PAC ID: 1153561378 Enrollment ID: I20130711000907 |
| Provider Name | Meredith Fields Lawler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992129175 PECOS PAC ID: 3971727710 Enrollment ID: I20140617001175 |
| Provider Name | Gary Blank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437320249 PECOS PAC ID: 0941429385 Enrollment ID: I20140916002519 |
| Provider Name | Marianne James Brett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912567132 PECOS PAC ID: 7517296239 Enrollment ID: I20190905002426 |
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