Individual provider Active NPI

Bonnie Forsberg, DPT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1225516859
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9020 Issued in AL
Practice address
1267 Enterprise Way NW Ste B
Huntsville, AL 35806-4472
Phone
(256) 713-1872
Fax
(256) 713-1873
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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 PTH9020 AL Primary

Addresses

Primary practice location

1267 Enterprise Way NW Ste B
Huntsville, AL 35806-4472

Mailing address

12181 County Line Rd Ste 150
Madison, AL 35758-7740
Phone (256) 461-9654

Other practice location 1

165 Whitesport Dr SW Ste 2
Huntsville, AL 35801-7427
Phone (256) 425-0300

Other practice location 2

12181 County Line Rd Ste 150
Madison, AL 35758-7740
Phone (256) 461-9654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1225516859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12181 COUNTY LINE RD STE 150",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587740",
            "telephone_number": "256-461-9654",
            "fax_number": "256-461-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 ENTERPRISE WAY NW STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064472",
            "telephone_number": "256-713-1872",
            "fax_number": "256-713-1873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Whitesport Dr SW Ste 2",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358017427",
            "country_code": "US",
            "telephone_number": "256-425-0300",
            "fax_number": "256-425-0301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12181 County Line Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357587740",
            "country_code": "US",
            "telephone_number": "256-461-9654",
            "fax_number": "256-461-9728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORSBERG",
        "first_name": "BONNIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.