Forrest Dean Hammeren

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-688 Issued in ID

Practice address

2438 Mountain View Dr
Emmett, ID 83617-9581

Phone

(208) 475-1984

Fax

(208) 463-0901

NPI assigned

Nov 26, 2012

Last updated

Nov 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Delta Physical Therapy and Sports

  • Physical Therapist
  • Delta, UT
  • NPI 1801834700

  Occupational Therapist

  NPD
• Delta Physical Therapy and Sports Medicine PC

  dba Fillmore Physical Therapy

  • Physical Therapist
  • Fillmore, UT
  • NPI 1275726788

  Occupational Therapist

  NPD
• Mountain Land Rehabilitation LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1265549372

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1063756443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 MOUNTAIN VIEW DR",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 MOUNTAIN VIEW DR",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179581",
            "telephone_number": "208-475-1984",
            "fax_number": "208-463-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMEREN",
        "first_name": "FORREST",
        "middle_name": "DEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-688",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1068103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Thomas Gudenkauf
• Guided Growth Behavior Support, PLLC
• Hale Counseling LLC (Ryan Hale Counseling)
• Luther Ryan Hale, LCSW
• Chancen Darwin Hall
• Gretchen Kletzer Hancock
• Amanda Dawn Hardisty, CPHT
• Brigham Hardy, DO
• Cody A Harrison, LMT
• Healing Through Horses, Inc.

• Occupational Therapist in Emmett, ID
• Providers in Emmett, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.