Organization
FORTIFY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LYNN DETTMER DPT (MEMBER)
(260) 414-7827
Entity
Organization
Contact information
Practice address
216 MARCIEL DR, FORT WAYNE, IN 46825-5310
(260) 414-7827
Mailing address
6408 CONSTITUTION DR, FORT WAYNE, IN 46804-1558
(260) 414-7827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
01/02/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up