MEDICARE: FORTERA HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	207T00000X	Neurological Surgery Physician
3	208100000X	Physical Medicine & Rehabilitation Physician
4	207LP2900X	Pain Medicine (Anesthesiology) Physician
5	2084N0400X	Neurology Physician
6	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1639032931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORTERA HEALTH LLC

Provider Business Mailing Address
First Line	:	123 COLUMBIA TPKE STE 102B
Second Line	:
City	:	FLORHAM PARK
State	:	NJ
Zip	:	07932-2193
Country	:	US
Telephone Number	:	973-755-0190
Fax Number	:	973-755-0191

Provider Business Practice Location Address
First Line	:	123 COLUMBIA TPKE STE 102B
Second Line	:
City	:	FLORHAM PARK
State	:	NJ
Zip	:	07932-2193
Country	:	US
Telephone Number	:	973-755-0190
Fax Number	:	973-755-0191

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	TERRENCE WELSH
Credential	:	MD
Telephone Number	:	973-755-0190

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	04/12/2026

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Directions to “FORTERA HEALTH LLC ” Practice Location

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