Individual provider Active NPI

Brian Nicholas Forte, DPT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1124465471
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-010296 Issued in AZ
Practice address
2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168
Phone
(602) 648-5444
Fax
(602) 772-3801
NPI assigned
May 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 LPT-010296 AZ Primary

Addresses

Primary practice location

2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (023) 852-1156

Other practice location 1

6620 E McKellips Rd Ste 105
Mesa, AZ 85215-2867
Phone (602) 648-5444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429001106 AZ Practitioner - Physical Therapist in Private Practice 6002256799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4836 E McDowell Rd
Suite 101
Phoenix, AZ 85008-7713
Phone (480) 408-4822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Ohs LLC Physical Therapist Current Accepting new patients
Work Injury Rehabilitation Center LLC Current Accepting new patients
Forte Physical Therapy LLC Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Apr 3, 2024 Accepting new patients
Orthopedic Specialists of North America PLLC Physical Therapist CurrentSince Apr 3, 2024 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients

Locations

2940 E Banner Gateway Dr
Ste 200250
Gilbert, AZ 85234

2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234

6620 E McKellips Rd
Ste 105
Mesa, AZ 85215
Phone (602) 922-9090

4836 E McDowell Rd
Ste 101
Phoenix, AZ 85008
Phone (480) 408-4822

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1124465471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "023-852-1156",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 E BANNER GATEWAY DR STE 200-250",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342168",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6620 E McKellips Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852152867",
            "country_code": "US",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTE",
        "first_name": "BRIAN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-010296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.