Active NPI
Forrest R. E. Hartford, D.C.
- Chiropractor
- Gig Harbor, WA
National Provider Identifier
1609015247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60066715
- Practice address
- 5125 Olympic Dr NW Ste 110
Gig Harbor, WA 98335-1712 - Phone
- (253) 853-4000
- Fax
- (253) 853-4001
- NPI assigned
- Feb 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH6006715 | WA | |
| Chiropractor | 111N00000X | CH60066715 | WA | Primary |
Addresses
Primary practice location
5125 Olympic Dr NW Ste 110
Gig Harbor, WA 98335-1712
Mailing address
5125 Olympic Dr NW Ste 110
Gig Harbor, WA 98335-1712
Phone (253) 853-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5160 Borgen Blvd
Suite 101
Gig Harbor, WA 98332-8809
Phone (253) 853-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60066715 | WA | MD | Chiropractor |
| CH6006715 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Sport and Spine PLLC | Current | Accepting new patients | |
| Pro Sport Orthopedics, LLC | Past | Accepting new patients | |
| Pro Sport Physical Therapy, LLC | Past | Accepting new patients |
Locations
5160 Borgen Blvd
Ste 101
Gig Harbor, WA 98332
Phone (253) 853-4000
5125 Olympic Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 833-4000
Organizations & group practices 3
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.
-
- Sports Physician Chiropractor
- Gig Harbor, WA
- NPI 1841672433
-
- Orthopaedic Surgery Physician
- Gig Harbor, WA
- NPI 1336791094
-
- Physical Therapist
- Gig Harbor, WA
- NPI 1114552155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1609015247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 OLYMPIC DR NW STE 110",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351712",
"telephone_number": "253-853-4000",
"fax_number": "253-853-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 OLYMPIC DR NW STE 110",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351712",
"telephone_number": "253-853-4000",
"fax_number": "253-853-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTFORD",
"first_name": "FORREST",
"middle_name": "R. E.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-04",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH6006715",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60066715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.