JERILYN FORTSCH P.T.
NPI 1336451483
Specialist in East Northport, NY

Q: What is Jerilyn Fortsch's NPI number?

The NPI number for Jerilyn Fortsch is 1336451483. It was assigned to this individual provider in the NPPES registry on July 6, 2010.

Q: What is Jerilyn Fortsch's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jerilyn Fortsch was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 July 06, 2010

105 CATHERINE ST, EAST NORTHPORT, NY 11731(631) 681-1101 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jerilyn Fortsch P.t. NPPES

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

JERILYN FORTSCH P.T. (NPI 1336451483) is an individual specialist in East Northport, New York, licensed in New York (012147-01) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1336451483

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameJERILYN FORTSCHCredential: P.T.

Location Address105 CATHERINE STEast Northport, NY 11731-1001

Mailing Address105 Catherine StEast Northport, NY 11731-1001 · (631) 757-5674

Phone(631) 681-1101

Sole ProprietorYes

Enumeration DateJuly 6, 2010

✔ NPI 1336451483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 012147-01

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

105 CATHERINE ST, East Northport, NY 11731

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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 Jerilyn Fortsch's NPI number?

The NPI number for Jerilyn Fortsch is 1336451483. It was assigned to this individual provider in the NPPES registry on July 6, 2010.

Where is Jerilyn Fortsch located?

Jerilyn Fortsch practices at 105 Catherine St, East Northport, NY 11731. The listed phone number is (631) 681-1101.

What is Jerilyn Fortsch's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jerilyn Fortsch was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.