Organization Active NPI

Forward Approach Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Newington, CT
National Provider Identifier
1134877921
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FORWARD APPROACH PHYSICAL THERAPY AND WELLNESS LLC
Practice address
18 Cedar St # a
Newington, CT 06111-2647
Phone
(860) 573-2124
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Stephanie Ward, DPTNPI 1992979868
Title
Owner
Phone
(860) 573-2124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

18 Cedar St # a
Newington, CT 06111-2647

Mailing address

18 Cedar St # a
Newington, CT 06111-2647
Phone (860) 573-2124

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221221000506 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890171995 Receives reassigned benefits from 1 practitioner
Practice locations: Newington, CT

National Provider Directory

National Provider Directory

Locations

18 Cedar St
#A
Newington, CT 06111
Phone (860) 573-2124

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1134877921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CEDAR ST # A",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112647",
            "telephone_number": "860-573-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CEDAR ST # A",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112647",
            "telephone_number": "860-573-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD APPROACH PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-573-2124",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.