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FORTITUDE SPORT & SPINE
NPI 1346854007
Clinic/Center - Medical Specialty in Las Vegas, NV

Active since September 01, 2020
878 DANCING VINES AVE, LAS VEGAS, NV 89183(702) 449-9751 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fortitude Sport & Spine NPPES

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

FORTITUDE SPORT & SPINE (NPI 1346854007) is a healthcare organization registered as a medical specialty in Las Vegas, Nevada and active in the NPI registry since September 2020. The organization maintains a secondary practice location in Las Vegas and lists Thomas Godfrey, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1346854007
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameFORTITUDE SPORT & SPINE
Location Address878 DANCING VINES AVELas Vegas, NV 89183-6317
Mailing Address878 Dancing Vines AveLas Vegas, NV 89183-6317 · (702) 449-9751
Phone(702) 449-9751
Organization SubpartNo
Authorized OfficialThomas GodfreyMedical Director · (702) 449-9751
Enumeration DateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1346854007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
878 DANCING VINES AVE, Las Vegas, NV 89183
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Secondary Practice Location 1

Location 18475 S Eastern Ave Ste 101Las Vegas, NV 89123-2863 · Phone (702) 898-3311

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 Fortitude Sport & Spine's NPI number?

The NPI number for Fortitude Sport & Spine is 1346854007. It was assigned to this organization in the NPPES registry on September 1, 2020.

Where is Fortitude Sport & Spine located?

Fortitude Sport & Spine is located at 878 Dancing Vines Ave, Las Vegas, NV 89183. The listed phone number is (702) 449-9751.

What is Fortitude Sport & Spine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Fortitude Sport & Spine was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.