Active NPI
Rebecca Declerk Forst, MPT
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1659609618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2009023136
- Practice address
- 7733 Forsyth Blvd Ste 2300
Saint Louis, MO 63105-1806 - Phone
- (800) 677-1238
- Fax
- (314) 863-0769
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2009023136 | MO | Primary |
Addresses
Primary practice location
7733 Forsyth Blvd Ste 2300
Saint Louis, MO 63105-1806
Mailing address
708 Penny CT
Ballwin, MO 63011-2801
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009023136 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1659609618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 PENNY CT",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7733 FORSYTH BLVD STE 2300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631051806",
"telephone_number": "800-677-1238",
"fax_number": "314-863-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORST",
"first_name": "REBECCA",
"middle_name": "DECLERK",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2009023136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.