Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Fortunato

Individual provider Occupational Therapy Assistant · NPI 1609261833

Nicholas Fortunato is an Occupational Therapy Assistant in San Francisco, California. Licensed in California and Virginia. Registered with an NPI since 2015.

Licensed in
CA, VA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1354 47th Ave
San Francisco, CA 94122-1115
Phone: (360) 628-2302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 0131002624 (VA)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA2947 (CA)

Record details

NPI number1609261833
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2015
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023

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