Individual provider Active NPI

Jay Arthur Forgeron, PT

  • Physical Therapist
  • Palm Springs, CA
National Provider Identifier
1053462762
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 10849 Issued in CA
Practice address
1090 N Palm Canyon Dr Ste D
Palm Springs, CA 92262-4435
Phone
(760) 778-7150
Fax
(760) 778-7180
NPI assigned
Jan 16, 2007
Last updated
May 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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 PT 10849 CA Primary

Addresses

Primary practice location

1090 N Palm Canyon Dr Ste D
Palm Springs, CA 92262-4435

Mailing address

49130 Matzene Dr
Morongo Valley, CA 92256-9705
Phone (760) 333-0331

Other practice location 1

81880 Dr Carreon Blvd Ste C202
Indio, CA 92201-5587
Phone (760) 775-5511

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

State licenses

LicenseStateTypeSpecialty
PT 10849CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H.D.P.R.G., Inc Physical Therapist CurrentSince Jan 8, 2019 Accepting new patients
All Star Physical Therapy Physical Therapist PastSince Sep 7, 2023 Accepting new patients

Locations

56299 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 367-1743

Organizations & group practices 3

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1053462762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49130 MATZENE DR",
            "city": "MORONGO VALLEY",
            "state": "CA",
            "postal_code": "922569705",
            "telephone_number": "760-333-0331",
            "fax_number": "760-778-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N PALM CANYON DR STE D",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624435",
            "telephone_number": "760-778-7150",
            "fax_number": "760-778-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81880 Dr Carreon Blvd Ste C202",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922015587",
            "country_code": "US",
            "telephone_number": "760-775-5511",
            "fax_number": "760-775-5521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORGERON",
        "first_name": "JAY",
        "middle_name": "ARTHUR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 10849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.