Kathleen M Forde, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3050 Issued in GA

Practice address

575 Professional Dr Ste 160
Lawrenceville, GA 30045-3347

Phone

(770) 995-9746

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• GP Therapy LLC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Marietta, GA
  • NPI 1538164553
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700968138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 TWIN LAKES TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303601727",
            "telephone_number": "678-662-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 PROFESSIONAL DR STE 160",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453347",
            "telephone_number": "770-995-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDE",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "3050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberta Folk, LCSW
• Cletus Ahidjo Foma, PHARMACIST
• Jeffrey Andrew Forbrick, NP-C
• Bette Ford, MD
• Christyns Nicole Ford
• Foremost Healthcare LLC
• Beverly Gail Forrester, RN
• Michelle Forrester, P.A.
• Forster Eye Care, P.C.
• Tasha L. Fortenberry, LCSW

• Physical Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.