| Tina Fortier, PT | |
|
124 Myron St, West Springfield, MA 01089-1420 | |
| (413) 781-7538 | |
| (413) 781-0982 |
| Full Name | Tina Fortier |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 124 Myron St, West Springfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184896946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Providence Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1326564287 PECOS PAC ID: 8426313925 Enrollment ID: O20180605000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Fortier, PT 168 Denslow Rd, East Longmeadow, MA 01028-3188 Ph: (413) 526-9969 | Tina Fortier, PT 124 Myron St, West Springfield, MA 01089-1420 Ph: (413) 781-7538 |
Elis Joannys Hernandez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Westfield St, West Springfield, MA 01089 Phone: 413-588-6110 | |
Ryan Kalman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Elm St, Suite 33, West Springfield, MA 01089 Phone: 413-526-9969 Fax: 413-526-9960 | |
Lynne Mia Davis, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2112 Riverdale St Ste 1, West Springfield, MA 01089 Phone: 413-748-7223 Fax: 413-493-2027 | |
Sharon A Polastry, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 Myron St, West Springfield, MA 01089 Phone: 413-781-7538 | |
Brett Moody, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1111 Elm St Ste 9, West Springfield, MA 01089 Phone: 413-736-2250 Fax: 413-736-2254 | |
Mr. Geoff Elia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1275 Elm St, West Springfield, MA 01089 Phone: 413-785-1153 Fax: 413-781-4951 |