Provider Demographics
NPI:1053647917
Name:FORTIUS PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:FORTIUS PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTALDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-235-4444
Mailing Address - Street 1:704 E MAIN ST STE H
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3071
Mailing Address - Country:US
Mailing Address - Phone:856-235-4444
Mailing Address - Fax:856-235-4000
Practice Address - Street 1:704 E MAIN ST STE H
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3071
Practice Address - Country:US
Practice Address - Phone:856-235-4444
Practice Address - Fax:856-235-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027259-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty