Provider Demographics
NPI:1477077204
Name:FORTE PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:FORTE PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:FORTANASCE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:323-999-7770
Mailing Address - Street 1:920 LOHMAN LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-2906
Mailing Address - Country:US
Mailing Address - Phone:323-999-7770
Mailing Address - Fax:
Practice Address - Street 1:925 W FOOTHILL BLVD STE B
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-6603
Practice Address - Country:US
Practice Address - Phone:323-999-7770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy