Forward Medical PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FORWARD MEDICAL PC

Practice address

3300 N Ashton Blvd Ste 450
Lehi, UT 84048-5340

Phone

(385) 455-7170

Fax

(888) 823-5887

NPI assigned

Mar 13, 2025

Last updated

Aug 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Bullock

Title

Authorized Official

Phone

(385) 455-7170

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, AZ, CO, TX, PA5 enrollments

Enrollment records 5

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert W Slack, DO

  • Family Medicine Physician
  • Lehi, UT
  • NPI 1467467399

  AZ, CO, PA, TX

  Medicare reassignment NPD
• Daniel Jacob Densley, PA-C

  • Medical Physician Assistant
  • West Wendover, NV
  • NPI 1750894184

  AZ, CO, PA, UT

  Medicare reassignment
• Aaron Steele Asay, PA-C

  • Physician Assistant
  • Lehi, UT
  • NPI 1477834141
  NPD (past)
• Valarie D Jacobs, APRN

  • Family Nurse Practitioner
  • Bountiful, UT
  • NPI 1912480567

  Family Medicine

  NPD (past)
• Michael Koniuch

  • Physical Medicine & Rehabilitation Physician
  • Salt Lake City, UT
  • NPI 1225394612
  NPD (past)
• Spencer Lee Scoville

  • Family Medicine Physician
  • Orem, UT
  • NPI 1821192436
  NPD (past)
• Jesse Walker, DO

  • Physical Medicine & Rehabilitation Physician
  • Sandy, UT
  • NPI 1417452046
  NPD (past)

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1245039940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N ASHTON BLVD STE 450",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840485340",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N ASHTON BLVD STE 450",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840485340",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 S Alma School Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852104013",
            "country_code": "US",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2929 W Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251534",
            "country_code": "US",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 S Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461043",
            "country_code": "US",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 E Abington Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182906",
            "country_code": "US",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5939 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322442356",
            "country_code": "US",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 Stone Way N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981037485",
            "country_code": "US",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORWARD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "385-455-7170"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor A Flood, MD
• Jenna Ann Floreani, AUD
• Brian Flores
• Nathan Foote
• Bruce K. Fordham, LPC
• Austin Fotheringham
• Foundation Chiropractic of Lehi
• Benjamin Foust, PHARMD
• Timothy Fowles
• Kaleigh Emaline France, DNP, FNP-BC

• General Practice Physician in Lehi, UT
• Providers in Lehi, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.