Rebecca A Forkan, P.T.

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT00009853 Issued in WA

Practice address

20109 Aurora Ave N Ste 105
Shoreline, WA 98133-3127

Phone

(206) 801-7546

Fax

(206) 801-7547

NPI assigned

Mar 19, 2007

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Waterfront Sports and Physical Therapy

  dba Motus Physical Therapy

  • Orthopedic Physical Therapist
  • Shoreline, WA
  • NPI 1164546016
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1629192497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 NE 147TH LN",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20109 AURORA AVE N STE 105",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333127",
            "telephone_number": "206-801-7546",
            "fax_number": "206-801-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKAN",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "WA",
            "license": "PT00009853",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00009853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toya Flunder, TOYA FLUNDER
• Marion L Folkemer, MD
• Tommy Fong, DDS
• Marissa Fontanez, DNP, RN, FNP-BC
• Danielle Alica Ford, SUDP-T
• Ivan Cherniavsky Foster
• Valerie Elizabeth Frankola, PHARMD
• Charisza Ann Santos Franz
• Frasco & Sarausad LFP Inc
• Arlen Rose Frazier, MA

• Sports Physical Therapist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Sports Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.