Individual provider Active NPI

Marta Pepe Forney, M.P.T, A.T.C.

  • Physical Therapist
  • Haverford, PA
National Provider Identifier
1447476767
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015929 Issued in PA
Practice address
551 W Lancaster Ave
Haverford, PA 19041-1419
Phone
(800) 550-9212
Fax
(610) 526-6750
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015929 PA Primary

Addresses

Primary practice location

551 W Lancaster Ave
Haverford, PA 19041-1419

Mailing address

5577 Old Easton Rd
Doylestown, PA 18902-9716
Phone (215) 766-9878

Other practice location 1

99 Lantern Dr Ste 1
Doylestown, PA 18901-1902
Phone (484) 793-6900

Other identifiers 1

IdentifierTypeStateIssuer
1045801620001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251026000322 PA Practitioner - Physical Therapist in Private Practice 3678062171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbrina Enterprises IncGroup PAC ID 7113360991, 2 clinicians

Practice addresses (Care Compare)

99 Lantern Dr
Suite 1
Doylestown, PA 18901-1902
Phone (412) 428-5223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015929PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbrina Enterprises, Inc. Physical Therapist CurrentSince Aug 14, 2025 Accepting new patients

Locations

99 Lantern Dr
Ste 1
Doylestown, PA 18901
Phone (267) 880-6787

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1447476767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 OLD EASTON RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189029716",
            "telephone_number": "215-766-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W LANCASTER AVE",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411419",
            "telephone_number": "800-550-9212",
            "fax_number": "610-526-6750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Lantern Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189011902",
            "country_code": "US",
            "telephone_number": "484-793-6900",
            "fax_number": "484-379-0692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORNEY",
        "first_name": "MARTA",
        "middle_name": "PEPE",
        "name_prefix": "Mrs.",
        "credential": "M.P.T, A.T.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045801620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.