Forward Function Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FORWARD FUNCTION THERAPY LLC

Practice address

5010 Elenore Ave FL 1
Saint Louis, MO 63116-1300

Phone

(631) 275-8288

Fax

(631) 201-3377

NPI assigned

Jun 16, 2020

Organization subpart

No

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

Authorized official

Name

Arthur Tobias Kern, OTR/LNPI 1417335605

Title

Owner

Phone

(631) 275-8288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

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

• Arthur Tobias Kern, OTR

  • Occupational Therapist
  • Saint Louis, MO
  • NPI 1417335605
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1508481466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 ELENORE AVE FL 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161300",
            "telephone_number": "631-275-8288",
            "fax_number": "631-201-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 ELENORE AVE FL 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161300",
            "telephone_number": "631-275-8288",
            "fax_number": "631-201-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD FUNCTION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "TOBIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-275-8288",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Fortney Sr., M.D.
• Ashleigh Fortschneider, PA-C
• Vincent P. Fortunato, MD
• Lisandro Roberto Fortuny
• Forum Home Health Agency LLC.
• Leslie E Foss, ACNP
• Alisha Fossett
• Angie Earhart Foster, M.D.
• Camille Nicole Foster
• Catherine Duncan Staley Foster, MD

• Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.