Forward Motion Physical Therapy LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT00009330 Issued in WA

Legal business name

FORWARD MOTION PHYSICAL THERAPY LLC

Practice address

1701 E Evergreen Blvd
Suite B
Vancouver, WA 98661-4232

Phone

(360) 600-2272

Fax

(877) 362-9612

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Robert Cory Blickenstaff, PTNPI 1760478762

Title

Manager

Phone

(360) 600-2272

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Cory Blickenstaff, PT

  • Physical Therapist
  • Vancouver, WA
  • NPI 1760478762
  NPD (past) Authorized official

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1336343789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13023 NE HIGHWAY 99",
            "address_2": "SUITE 7 PMB 109",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862767",
            "telephone_number": "360-600-2272",
            "fax_number": "877-362-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E EVERGREEN BLVD",
            "address_2": "SUITE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614232",
            "telephone_number": "360-600-2272",
            "fax_number": "877-362-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD MOTION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BLICKENSTAFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-600-2272",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00009330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.