Active NPI
Scott Forwood, PTA
- Physical Therapy Assistant
- Caldwell, ID
National Provider Identifier
1346400728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-074
- Practice address
- 2814 S Indiana Ave
Caldwell, ID 83605-5925 - Phone
- (208) 454-0380
- Fax
- (208) 454-6388
- NPI assigned
- Jun 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-074 | ID | Primary |
Addresses
Primary practice location
2814 S Indiana Ave
Caldwell, ID 83605-5925
Mailing address
2814 S Indiana Ave
Caldwell, ID 83605-5925
Phone (208) 454-0380
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-074 | ID | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1346400728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 S INDIANA AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836055925",
"telephone_number": "208-454-0380",
"fax_number": "208-454-6388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 S INDIANA AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836055925",
"telephone_number": "208-454-0380",
"fax_number": "208-454-6388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORWOOD",
"first_name": "SCOTT",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "ID",
"license": "PTA-074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.