Individual provider Active NPI

Todd A Forman, P.T.

  • Physical Therapist
  • Natick, MA
National Provider Identifier
1053319970
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9137 Issued in MA
Practice address
220 N Main St Ste 101
Natick, MA 01760-1100
Phone
(508) 647-3200
Fax
(508) 647-0902
NPI assigned
Jul 13, 2005
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9137 MA Primary

Addresses

Primary practice location

220 N Main St Ste 101
Natick, MA 01760-1100

Mailing address

214 N Main St
Suite 201
Natick, MA 01760-1131
Phone (508) 647-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060418000091 MA Practitioner - Physical Therapist in Private Practice 5193734317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Therapeutics, Inc.Group PAC ID 2860466471, 3 clinicians

Practice addresses (Care Compare)

220 N Main St
Suite 101
Natick, MA 01760-1100
Phone (508) 647-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9137MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Therapeutics, Inc CurrentSince May 13, 2002 Accepting new patients
Integrative Therapeutics, Inc. Physical Therapist CurrentSince May 13, 2002 Accepting new patients

Locations

203 Oak St
Natick, MA 01760
Phone (508) 647-3200

214 N Main St
Ste 201
Natick, MA 01760
Phone (508) 647-3200

220 N Main St
Ste 101
Natick, MA 01760
Phone (508) 647-3200

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1053319970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N MAIN ST",
            "address_2": "SUITE 201",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601131",
            "telephone_number": "508-647-3200",
            "fax_number": "508-647-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST STE 101",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601100",
            "telephone_number": "508-647-3200",
            "fax_number": "508-647-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.