MARY DOUGLAS FORTIN
NPI 1215091947
Physical Therapist - Pediatrics in Santa Clara, CA

Q: What is Mary Fortin's NPI number?

The NPI number for Mary Fortin is 1215091947. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Q: What is Mary Fortin's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Fortin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 20, 2006

710 LAWERENCE EXPRESSWAY, DEPT.174, SANTA CLARA, CA 95051(408) 851-1495(408) 851-1499 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Douglas Fortin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY DOUGLAS FORTIN (NPI 1215091947) is an individual pediatrics provider in Santa Clara, California, licensed in California (PT10606) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1215091947

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameMARY DOUGLAS FORTIN

Location Address710 LAWERENCE EXPRESSWAY, DEPT.174Santa Clara, CA 95051

Mailing Address5305 Alan AveSan Jose, CA 95124-5720 · (408) 266-6279

Phone(408) 851-1495

Fax(408) 851-1499

Sole ProprietorNo

Enumeration DateDecember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1215091947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in CA · PT10606

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

710 LAWERENCE EXPRESSWAY, DEPT.174, Santa Clara, CA 95051

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Fortin's NPI number?

The NPI number for Mary Fortin is 1215091947. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Mary Fortin located?

Mary Fortin practices at 710 Lawerence Expressway, Dept.174, Santa Clara, CA 95051. The listed phone number is (408) 851-1495.

What is Mary Fortin's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Mary Fortin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.