| La Fortaleza Physical Therapy Center Inc. | |
|
133 W Hunting Park Ave, Philadelphia, PA 19140-2717 | |
| (215) 455-5370 | |
| (215) 455-5374 |
| Full Name | La Fortaleza Physical Therapy Center Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 133 W Hunting Park Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285673517 | NPI | - | NPPES |
| 0017400900003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-009127L (Pennsylvania) | Primary |
| 225X00000X | Occupational Therapist | PT-009127L (Pennsylvania) | Secondary |
| Provider Name | Terence Joseph Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467586396 PECOS PAC ID: 2769425388 Enrollment ID: I20050606000279 |
| Provider Name | Martha Padilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497810030 PECOS PAC ID: 3779664412 Enrollment ID: I20080118000412 |
| Provider Name | Luis G Hincapie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134268600 PECOS PAC ID: 7719176924 Enrollment ID: I20110104000919 |
| Provider Name | Mark Nimchuk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932350444 PECOS PAC ID: 5294924247 Enrollment ID: I20110106000966 |
| Provider Name | Manish Patel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508905944 PECOS PAC ID: 4880877182 Enrollment ID: I20110324000129 |
| Provider Name | Melissa L Lebron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346366416 PECOS PAC ID: 3072796218 Enrollment ID: I20110324000623 |
| Provider Name | Vincent Ngo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003217597 PECOS PAC ID: 1254553308 Enrollment ID: I20141105002149 |
| Provider Name | Thomas Kain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306365606 PECOS PAC ID: 4789950296 Enrollment ID: I20171030000287 |
| Provider Name | Monal Patel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194201483 PECOS PAC ID: 6608126248 Enrollment ID: I20180904000010 |
| Provider Name | Kavitha Paranjothi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699707562 PECOS PAC ID: 8123371788 Enrollment ID: I20181029001087 |
| Provider Name | Jacqueline Canzano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720156789 PECOS PAC ID: 9234138421 Enrollment ID: I20200213001107 |
| Provider Name | Joseph Daigneau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891393914 PECOS PAC ID: 4082025937 Enrollment ID: I20201124002617 |
| Provider Name | Peter Ly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841880424 PECOS PAC ID: 0042624496 Enrollment ID: I20210127000900 |
| Provider Name | Mavelyn Rivera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497409577 PECOS PAC ID: 6103210398 Enrollment ID: I20220304000659 |
| Provider Name | Ernesto Mendez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336684331 PECOS PAC ID: 8527335710 Enrollment ID: I20230622002469 |
| Mailing Address | Practice Location Address |
|---|---|
| La Fortaleza Physical Therapy Center Inc. 133 W Hunting Park Ave, Philadelphia, PA 19140-2717 Ph: (215) 455-5370 | La Fortaleza Physical Therapy Center Inc. 133 W Hunting Park Ave, Philadelphia, PA 19140-2717 Ph: (215) 455-5370 |
Mr. James Blakely, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 E Wadsworth Ave, Unit 1, Philadelphia, PA 19150 Phone: 267-323-2778 Fax: 267-323-2774 | |
Vincent Ngo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-455-5370 | |
Maureen Higgins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 N Independence Mall W, Philadelphia, PA 19106 Phone: 215-413-0600 Fax: 215-413-0684 | |
Jennifer Dekerlegand, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 White Building, Philadelphia, PA 19104 Phone: 215-662-3265 | |
Doriean Broady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4902 Arch St Unit 1, Philadelphia, PA 19139 Phone: 585-944-7961 | |
Jennifer Anne Ellis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1923 Bainbridge St, Philadelphia, PA 19146 Phone: 215-469-1832 | |
Katherine Weaver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3400 Lancaster Ave Ste 4, Philadelphia, PA 19104 Phone: 215-662-0397 |