Individual provider Active NPI

Kyle Scott Forbes, DPT

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1235379264
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60073583 Issued in WA
Practice address
11711 NE 12TH St
Suite 3a
Bellevue, WA 98005-2461
Phone
(425) 454-1504
Fax
(425) 635-9340
NPI assigned
Mar 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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 PT60073583 WA Primary

Addresses

Primary practice location

11711 NE 12TH St
Suite 3a
Bellevue, WA 98005-2461

Mailing address

7116 Linden Ave N
Seattle, WA 98103-5110
Phone (425) 346-8554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914000465 TX Practitioner - Physical Therapist in Private Practice 0345397576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians

Practice addresses (Care Compare)

112 Herff Rd
Suite 310
Boerne, TX 78006-2750
Phone (830) 431-9660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60073583WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists CurrentSince Sep 1, 2021 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Sep 1, 2021 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist Past Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist Past Accepting new patients

Locations

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

112 Herff Rd
Ste 310
Boerne, TX 78006
Phone (830) 431-9660

20475 State Highway 46 W
Ste 104
Bulverde, TX 78070
Phone (830) 980-4565

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

12413 Judson Rd
Ste 100
Live Oak, TX 78233
Phone (210) 654-0030

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

9618 Huebner Rd
Ste 219
San Antonio, TX 78240
Phone (210) 714-5810

5917 Broadway
Ste 340
San Antonio, TX 78209

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

430 W Sunset Rd
Ste 430
San Antonio, TX 78209
Phone (210) 253-3450

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": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1235379264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 LINDEN AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035110",
            "telephone_number": "425-346-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST",
            "address_2": "SUITE 3A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461",
            "telephone_number": "425-454-1504",
            "fax_number": "425-635-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "KYLE",
        "middle_name": "SCOTT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-04",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60073583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.