Fortify Physical Therapy LLC
NPI 1063281459ActiveOrganization· Physical Therapist· Fort Wayne, IN
Physical Therapist in Fort Wayne, Indiana, registered in NPPES in December 2023. The authorized official on file is Jonathan Lynn Dettmer, DPT, Member.
Overview
| NPI | 1063281459 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2023 |
| Last updated in NPPES | Jan 2, 2024 |
| Certified by provider | Jan 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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