Heather R Forman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

OH014059 Issued in OH

Practice address

2760 Airport Dr Ste 160
Columbus, OH 43219-2284

Phone

(614) 852-4249

NPI assigned

Jun 29, 2024

Last updated

Jun 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Affordable Home Health Care, LLC

  dba Summit Therapy Solutions

  • Physical Therapist
  • Columbus, OH
  • NPI 1457216277
  Medicare reassignment

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1093550113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63004 ARROWHEAD RD",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437258585",
            "telephone_number": "740-584-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 AIRPORT DR STE 160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192284",
            "telephone_number": "614-852-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "HEATHER",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "OH014059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forestways OT LLC
• Forever Care LLC
• Dixon Alfred Fayiah Forleh
• Form and Function Healthcare LLC
• Charles Forman
• Kelly Ann Forman, LSW
• Michael A Forman, PHD
• Nancy Walker Forman, PHD
• Patricia R Forman, M.D.
• Nicole M Fornalski, PSYD

• Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.