Mary Douglas Fortin, - Physical Therapist in Santa Clara, CA

Mary Douglas Fortin, is a Physical Therapist - Pediatrics based in Santa Clara, California. Mary Douglas Fortin is licensed to practice in California (license number PT10606) and her current practice location is 710 Lawerence Expressway, Dept.174, Santa Clara, California. She can be reached at her office (for appointments etc.) via phone at (408) 851-1495.

NPI number for Mary Douglas Fortin is 1215091947 and her current mailing address is 5305 Alan Ave, San Jose, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215091947.

Contact Information

Mary Douglas Fortin,
710 Lawerence Expressway, Dept.174,
Santa Clara, CA 95051
(408) 851-1495
(408) 851-1499

Map and Direction




Healthcare Provider's Profile

Full NameMary Douglas Fortin
GenderFemale
SpecialityPhysical Therapist - Pediatrics
Location710 Lawerence Expressway, Dept.174, Santa Clara, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215091947
  • Provider Enumeration Date: 12/20/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mary Douglas Fortin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215091947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics PT10606 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Douglas Fortin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Douglas Fortin,
5305 Alan Ave,
San Jose, CA 95124-5720

Ph: (408) 266-6279
Mary Douglas Fortin,
710 Lawerence Expressway, Dept.174,
Santa Clara, CA 95051

Ph: (408) 851-1495

Reviews and Comments


Physical Therapist in Santa Clara, CA

Mrs. Bridget M. Bouyssounouse, P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 710 Lawrence Expy, Dept. #174, Santa Clara, CA 95051
Phone: 408-851-1466    
Karissa Taan, MPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051
Phone: 408-851-1492    
Darlene Alexandria Remo Villatuya, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 710 Lawrence Expy Dept 174, Santa Clara, CA 95051
Phone: 408-851-1400    
Chelsea Bendebel,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 900 Lafayette St Ste 105, Santa Clara, CA 95050
Phone: 408-293-7794    
Dr. James Purayampallil Gipson, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1026 Monroe St, Santa Clara, CA 95050
Phone: 408-246-5861    
Brooke Noelle Strishock,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 710 Lawrence Expy, Dept 174, Santa Clara, CA 95051
Phone: 408-851-4000    
Linda Trinh,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051
Phone: 408-851-1400    

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