Forest Neal Jarnagin, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT898 Issued in NM

Practice address

6400 Natalie Ave NE
Albuquerque, NM 87110-1308

Phone

(505) 379-3216

NPI assigned

Jun 4, 2020

Last updated

Jun 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1033733043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 NATALIE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101308",
            "telephone_number": "505-379-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 NATALIE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101308",
            "telephone_number": "505-379-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARNAGIN",
        "first_name": "FOREST",
        "middle_name": "NEAL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "PT898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Jarden, CPSW
• Debra Jargosch
• Kinnari Jariwala, DDS
• Sean Ajay Jariwala, PHARMD
• Deborah B Jarmul, PA-C
• Joseph A Jaros, M.D.
• Terri Jarosch
• Julia Jarrard, MS
• Lynnmarie Ann Jarratt, MD
• Christina Marie Jarrell

• Physical Therapy Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.