Active NPI
Jennifer Louise Forker, MSPT
- Physical Therapist
- Evansville, IN
National Provider Identifier
1043418445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05012963A
- Practice address
- 515 Read St
Evansville, IN 47710-1739 - Phone
- (812) 437-1420
- Fax
- (812) 437-1425
- NPI assigned
- Jul 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05012963A | IN | Primary |
Addresses
Primary practice location
515 Read St
Evansville, IN 47710-1739
Mailing address
PO Box 922
Evansville, IN 47706-0922
Phone (866) 309-5567
Other names 1
- Jennifer Louise Goin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1043418445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 922",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477060922",
"telephone_number": "866-309-5567",
"fax_number": "812-491-1269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 READ ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101739",
"telephone_number": "812-437-1420",
"fax_number": "812-437-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORKER",
"first_name": "JENNIFER",
"middle_name": "LOUISE",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05012963A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GOIN",
"middle_name": "LOUISE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.