Active NPI
Amy Jo Forbes, PT
- Physical Therapist
- Moose Lake, MN
National Provider Identifier
1700118197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8295
- Practice address
- 4570 County Road 61
Moose Lake, MN 55767-9401 - Phone
- (218) 485-2020
- NPI assigned
- Feb 10, 2010
- Sex
- Female
- 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 | 8295 | MN | Primary |
Addresses
Primary practice location
4570 County Road 61
Moose Lake, MN 55767-9401
Mailing address
7541 9TH St N
Oakdale, MN 55128-6626
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8295 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1700118197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7541 9TH ST N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551286626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4570 COUNTY ROAD 61",
"city": "MOOSE LAKE",
"state": "MN",
"postal_code": "557679401",
"telephone_number": "218-485-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "AMY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-10",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moose Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.