Individual provider Active NPI

Marla Forst, PTA

  • Physical Therapy Clinic/Center
  • Topeka, KS
National Provider Identifier
1356701098
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1400632 Issued in KS
Practice address
634 SW Mulvane St Ste 404
Topeka, KS 66606-1678
Phone
(785) 295-8045
Fax
(785) 295-5415
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1400632 KS Primary
General Acute Care Hospital 282N00000X 1400632 KS

Addresses

Primary practice location

634 SW Mulvane St Ste 404
Topeka, KS 66606-1678

Mailing address

634 SW Mulvane St Ste 404
Topeka, KS 66606-1678
Phone (785) 295-8045

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

LicenseStateTypeSpecialty
1400632KSMDPhysical Therapy Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1356701098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 SW MULVANE ST STE 404",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061678",
            "telephone_number": "785-295-8045",
            "fax_number": "785-295-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 SW MULVANE ST STE 404",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061678",
            "telephone_number": "785-295-8045",
            "fax_number": "785-295-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORST",
        "first_name": "MARLA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "1400632",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KS",
            "license": "1400632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.