Forssberg Physical Therapy LLC
Organization Active NPI Physical Therapist · Pratt, KS
NPI 1023848744 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1023848744
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- FORSSBERG PHYSICAL THERAPY LLC
- Practice address
- 1219 E 1St St Ste H
Pratt, KS 67124-2081 - Phone
- (620) 419-4009
- NPI assigned
- Aug 6, 2024
- Organization subpart
- No
Authorized official
- Name
- Brandon Paul Forssberg
- Title
- Physical Therapist
- Phone
- (620) 388-6277
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240911000926 | KS | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5294275822 |
Receives reassigned benefits from 1 practitioner Practice locations: Pratt, KS |
National Provider Directory
Locations
1219 E 1st St
Ste H
Pratt, KS 67124
Phone (620) 388-6277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
1219 E 1St St Ste H
Pratt, KS 67124-2081
Mailing address
1219 E 1St St Ste H
Pratt, KS 67124-2081
Phone (620) 419-4009
Other providers in Pratt, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.