Mary Colleen Fortis, OT - Occupational Therapist in Santa Cruz, CA

Mary Colleen Fortis, OT is a Occupational Therapist based in Santa Cruz, California. Mary Colleen Fortis is licensed to practice in California (license number OT3899) and her current practice location is 2025 Soquel Ave, Santa Cruz, California. She can be reached at her office (for appointments etc.) via phone at (831) 423-4111.

NPI number for Mary Colleen Fortis is 1740340660 and her current mailing address is Po Box 1833, Santa Cruz, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740340660.

Contact Information

Mary Colleen Fortis, OT
2025 Soquel Ave,
Santa Cruz, CA 95062-1323
(831) 423-4111
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMary Colleen Fortis
GenderFemale
SpecialityOccupational Therapist
Location2025 Soquel Ave, Santa Cruz, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740340660
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 05/28/2020

Medical Identifiers

Medical identifiers for Mary Colleen Fortis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740340660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT3899 (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 Colleen Fortis 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 Colleen Fortis, OT
Po Box 1833,
Santa Cruz, CA 95061-1833

Ph: () -
Mary Colleen Fortis, OT
2025 Soquel Ave,
Santa Cruz, CA 95062-1323

Ph: (831) 423-4111

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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