NPIMap

Individual provider Active NPI

Kyle Forchetti

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1538610902
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27239 Issued in MD
Practice address
5411 W Cedar LN Ste 105a
Bethesda, MD 20814-1516
Phone
(301) 564-4040
Fax
(301) 564-3604
NPI assigned
Oct 20, 2016
Last updated
May 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 11708 CT
Physical Therapist 225100000X 27239 MD Primary

Addresses

Primary practice location

5411 W Cedar LN Ste 105a
Bethesda, MD 20814-1516

Mailing address

9707 Medical Center Dr Ste 330
Rockville, MD 20850-6343
Phone (301) 444-4090

Other practice location 1

6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145 ext. 279

Other practice location 2

9707 Medical Center Dr Ste 330
Rockville, MD 20850
Phone (301) 444-4090

Other identifiers 1

IdentifierTypeStateIssuer
1538610902OtherCTN/A

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11708CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Sweet Home Therapy LLC Multi-Specialty PastSince Nov 17, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1538610902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR STE 330",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506343",
            "telephone_number": "301-444-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 W CEDAR LN STE 105A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141516",
            "telephone_number": "301-564-4040",
            "fax_number": "301-564-3604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Greenwich Office Park",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068315151",
            "country_code": "US",
            "telephone_number": "203-869-1145 x279",
            "fax_number": "203-869-4246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9707 Medical Center Dr Ste 330",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "20850",
            "country_code": "US",
            "telephone_number": "301-444-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORCHETTI",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11708",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1538610902",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.