Jennifer H Forman MSPT PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

Y911T Issued in FL

Legal business name

JENNIFER H FORMAN MSPT PA

Practice address

7134 Boca Pointe Drive
Boca Raton, FL 33433-3905

Phone

(561) 955-9384

Fax

(561) 392-7395

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert J Forman

Title

Owner

Phone

(561) 289-4692

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juliette M Matis, OT

  • Occupational Therapist
  • Boca Raton, FL
  • NPI 1669480364
  NPD (past)
• Loren T Szmiga, DPT

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1528082237
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1114978319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 NW 73RD STREET",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673916",
            "telephone_number": "561-955-9384",
            "fax_number": "561-392-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7134 BOCA POINTE DRIVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333905",
            "telephone_number": "561-955-9384",
            "fax_number": "561-392-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER H FORMAN MSPT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-289-4692",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "Y911T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y911T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Marcus, MD, MPH, PA
• Jeffrey S Hoffman DC PA
• Bonnie Jenkins, RBT
• Jenna Queller MD PA (DermWorks Dermatology & Aesthetics)
• Jennifer E. Wong-Looi, DDS, PA
• Jennifer Jones RN Inc
• Jennifer N Yoder P.a.
• Jennifer Statler, DMD, PA (Statler Orthodontics)
• Alinda Jean Jennings, A.R.N.P.
• Jennmobilemed Inc

• Physical Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.