Fortitude, Inc
NPI 1609421502ActiveOrganization· Physical Therapist· Kenai, AK
Physical Therapist in Kenai, Alaska, registered in NPPES in August 2019. The authorized official on file is Donald Taylor Smith Staton, DPT, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609421502 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2019 |
| Last updated in NPPES | Jan 27, 2020 |
| Certified by provider | Jan 27, 2020 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AK) |
|---|
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