Active NPI
Daniel Forlasto, DPT
- Physical Therapist
- Warwick, RI
National Provider Identifier
1659627784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02501
- Practice address
- 215 Toll Gate Rd
Suite 205
Warwick, RI 02886-4458 - Phone
- (401) 773-7272
- Fax
- (401) 773-7273
- NPI assigned
- Jul 26, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT02501 | RI | Primary |
Addresses
Primary practice location
215 Toll Gate Rd
Suite 205
Warwick, RI 02886-4458
Mailing address
215 Toll Gate Rd
Suite 205
Warwick, RI 02886-4458
Phone (401) 773-7272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130701000007 | RI | Practitioner - Physical Therapist in Private Practice | 1456591155 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1659627784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 TOLL GATE RD",
"address_2": "SUITE 205",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864458",
"telephone_number": "401-773-7272",
"fax_number": "401-773-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 TOLL GATE RD",
"address_2": "SUITE 205",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864458",
"telephone_number": "401-773-7272",
"fax_number": "401-773-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORLASTO",
"first_name": "DANIEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-26",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.