Organization Active NPI

Forster Physical Therapy, Inc.

  • Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1679790646
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 10374 Issued in CA
Legal business name
FORSTER PHYSICAL THERAPY, INC.
Practice address
427 Wilshire Blvd
Santa Monica, CA 90401-1409
Phone
(310) 656-8600
Fax
(310) 656-8606
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Robert Frank Forster, P.T.NPI 1063639037
Title
Director
Phone
(310) 656-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 10374 CA Primary

Addresses

Primary practice location

427 Wilshire Blvd
Santa Monica, CA 90401-1409

Mailing address

427 Wilshire Blvd
Santa Monica, CA 90401-1409
Phone (310) 656-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181018002784 CA Part B Supplier - Clinic/Group Practice 1759634868 Receives reassigned benefits from 4 practitioners
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory
Tax ID family
Forster Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1679790646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011409",
            "telephone_number": "310-656-8600",
            "fax_number": "310-656-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011409",
            "telephone_number": "310-656-8600",
            "fax_number": "310-656-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSTER PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "FORSTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-656-8600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 10374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.

Verify at the official NPI Registry.