| Tina Fortier, PT | |
|
107 Triton Ln, Surf City, NC 28445-6923 | |
| (910) 803-2040 | |
| (910) 803-2050 |
| Full Name | Tina Fortier |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 43 Years |
| Location | 107 Triton Ln, Surf City, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184896946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P15871 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Physical Therapy, Llc | 8426313925 | 4 |
| 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 107 Triton Ln, Surf City, NC 28445-6923 Ph: (910) 803-2040 | Tina Fortier, PT 107 Triton Ln, Surf City, NC 28445-6923 Ph: (910) 803-2040 |
Benchmark Physical Therapy Of Nc, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13500 Nc Highway 50 Ste 103, Surf City, NC 28445 Phone: 910-507-1009 | |
Mrs. Keely Peterson Brown, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Triton Ln, Surf City, NC 28445 Phone: 910-803-2040 Fax: 910-803-2050 | |
David Alan Deitz, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Triton Ln, Surf City, NC 28445 Phone: 910-803-2040 Fax: 910-803-2050 | |
Samantha Lesley Watson, PT, DPT, MBA Physical Therapist Medicare: Medicare Enrolled Practice Location: 13094 Nc Highway 50 Ste B, Surf City, NC 28445 Phone: 910-803-0054 | |
Big Moves Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13094 Nc Highway 50 Ste B, Surf City, NC 28445 Phone: 910-803-0054 Fax: 910-803-0168 |