Active NPI
Michelle Mette Forman, PT, DPT
- Physical Therapist
- Reno, NV
National Provider Identifier
1184286015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3465
- Practice address
- 9480 Double Diamond Pkwy Ste 200
Reno, NV 89521-5842 - Phone
- (775) 348-8800
- Fax
- (833) 687-1419
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3465 | NV | Primary |
Addresses
Primary practice location
9480 Double Diamond Pkwy Ste 200
Reno, NV 89521-5842
Mailing address
5310 Kietzke LN Ste 104
Reno, NV 89511-2043
Phone (775) 348-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37229 | Other | CA | CA LICENSE |
| 3465 | Other | NV | NEVADA STATE LICENSE |
Other names 1
- Michelle Marie Mette
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
780 Vista Blvd
Suite 100
Sparks, NV 89434-6677
Phone (775) 348-8800
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3465 | NV | MD | Physical Therapist |
Interoperability endpoints
- michelle.forman.1@22724.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Specialist
- Reno, NV
- NPI 1285649608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1184286015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 KIETZKE LN STE 104",
"city": "RENO",
"state": "NV",
"postal_code": "895112043",
"telephone_number": "775-348-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9480 DOUBLE DIAMOND PKWY STE 200",
"city": "RENO",
"state": "NV",
"postal_code": "895215842",
"telephone_number": "775-348-8800",
"fax_number": "833-687-1419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORMAN",
"first_name": "MICHELLE",
"middle_name": "METTE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE",
"identifier": "37229",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA STATE LICENSE",
"identifier": "3465",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "METTE",
"middle_name": "MARIE",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.