Organization Active NPI

Forward Physical Therapy, LLC

Doing business as Forward Injury & Rehab

  • Orthopaedic Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1295381119
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
FORWARD PHYSICAL THERAPY, LLC
Doing business as
Forward Injury & Rehab
Waypoint Orthopaedic Associates
Practice address
3236 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-1202
Phone
(727) 823-4848
Fax
(727) 823-4880
NPI assigned
Aug 15, 2019
Last updated
Aug 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Mr. Jon Wheeler
Title
Practice Manager
Phone
(727) 823-4848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

3236 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-1202

Mailing address

3236 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-1202
Phone (727) 823-4848

Other names 2

  • Forward Injury & Rehab Doing business as
  • Waypoint Orthopaedic Associates Doing business as

National Provider Directory

National Provider Directory

Locations

3236 Mlk Jr St N
St Petersburg, FL 33704
Phone (727) 823-4848

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1295381119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041202",
            "telephone_number": "727-823-4848",
            "fax_number": "727-823-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041202",
            "telephone_number": "727-823-4848",
            "fax_number": "727-823-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "727-823-4848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forward Injury & Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waypoint Orthopaedic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.