Forrest L (Ben) Waide, PT, OCS, CHT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001533 Issued in KY

Practice address

2228 Anton Rd
Madisonville, KY 42431-7700

Phone

(270) 399-1776

Fax

(270) 440-2007

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christine M Kleinert Institute for Hand & Micro Surgery Inc

  dba C M Kleinert Institute

  • Physical Therapist
  • Louisville, KY
  • NPI 1255325304
  NPD (past)
• Christine M Kleinert Institute for Hand & Micro Surgery Inc

  dba Christine M Kleinert Institute

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1427471739
  NPD (past)
• Owensboro Medical Practice, PLLC

  • Cardiovascular Disease Physician
  • Owensboro, KY
  • NPI 1851315105

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1053300277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 ANTON RD",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424317700",
            "telephone_number": "270-399-1776",
            "fax_number": "270-440-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 ANTON RD",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424317700",
            "telephone_number": "270-399-1776",
            "fax_number": "270-440-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIDE",
        "first_name": "FORREST",
        "middle_name": "L (BEN)",
        "credential": "PT, OCS, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "001533",
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "KY",
            "license": "10011030054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS FACET #",
            "identifier": "000000477215",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Caton Vickery, BC-HIS
• Shaun Vickery, PT, MPT
• Betty Melanie Vincent, DC
• Lesly Jo Vogt
• Waide Physical Therapy PSC
• Wal-Mart Stores East, LP (Vision Center 30-0655)
• Ginger Renee Waldron, MSN
• Walgreen Co (Walgreens #12587)
• Walgreen Co (Rite Aid #18407)
• Walgreen Co. (Walgreens #11394)

• Physical Therapist in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.