Organization Active NPI

Forster Physical Therapy

  • Physical Therapy Assistant
  • Santa Monica, CA
National Provider Identifier
1366977639
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA48636 Issued in AR
Legal business name
FORSTER PHYSICAL THERAPY
Practice address
427 Wilshire Blvd
Santa Monica, CA 90401-1409
Phone
(310) 656-8600
Fax
(310) 656-8606
NPI assigned
Apr 25, 2017
Last updated
Apr 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Raina Reed-Duplessis
Title
Office Manager
Phone
(310) 656-8604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA48636 AR Primary

Addresses

Primary practice location

427 Wilshire Blvd
Santa Monica, CA 90401-1409

Mailing address

427 Wilshire Blvd
Santa Monica, CA 90401-1409
Phone (310) 656-8600

National Provider Directory

National Provider Directory
Tax ID family
Forster Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

427 Wilshire Blvd
Santa Monica, CA 90401
Phone (310) 656-8600

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1366977639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011409",
            "telephone_number": "310-656-8600",
            "fax_number": "310-656-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011409",
            "telephone_number": "310-656-8600",
            "fax_number": "310-656-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSTER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "REED-DUPLESSIS",
        "authorized_official_first_name": "RAINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-656-8604"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA48636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.