Individual provider Active NPI

Mark Anthony Forgione, DPT

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1053576884
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3639 W Woolbright Rd
Boynton Beach, FL 33436-7244
Phone
(561) 404-0203
Fax
(561) 404-0205
NPI assigned
Jul 21, 2008
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Orthopedic Physical Therapist 2251X0800X PT24170 FL

Addresses

Primary practice location

3639 W Woolbright Rd
Boynton Beach, FL 33436-7244

Mailing address

3639 W Woolbright Rd
Boynton Beach, FL 33436-7244
Phone (561) 404-0203

Other practice location 1

906 S Federal Hwy Ste B
Boynton Beach, FL 33435-5671
Phone (561) 738-0805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080815000391 FL Practitioner - Physical Therapist in Private Practice 6709951411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Miami, LM Miller School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Physical Therapy LLCGroup PAC ID 9638331564, 7 clinicians

Practice addresses (Care Compare)

3639 W Woolbright Rd
Boynton Beach, FL 33436-7244
Phone (561) 404-0203

906 S Federal Hwy
Suite B
Boynton Beach, FL 33435-5671
Phone (561) 738-0805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MDR Rehab, Inc. Physical Therapist CurrentSince Feb 2, 2015 Accepting new patients
Advantage Physical Therapy LLC Physical Therapist CurrentSince Dec 19, 2011 Accepting new patients
Boynton Sport and Back Physical Therapy Physical Therapist PastSince Mar 28, 2001 Accepting new patients

Locations

3639 W Woolbright Rd
Boynton Beach, FL 33436
Phone (561) 404-0203

906 S Federal Hwy
Ste B
Boynton Beach, FL 33435
Phone (561) 738-0805

601 N Congress Ave
Ste 411
Delray Beach, FL 33445
Phone (561) 638-1078

Networks

  • Freedom Health HMO Network

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1053576884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367244",
            "telephone_number": "561-404-0203",
            "fax_number": "561-404-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367244",
            "telephone_number": "561-404-0203",
            "fax_number": "561-404-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 S Federal Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334355671",
            "country_code": "US",
            "telephone_number": "561-738-0805",
            "fax_number": "561-738-0815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORGIONE",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT24170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.