Herbert Ford Jr., PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6119 Issued in AZ

Practice address

1400 E Southern Ave Ste 310
Tempe, AZ 85282-5695

Phone

(623) 688-0946

NPI assigned

Jan 15, 2018

Last updated

Jan 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Vitality LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1689118895
  Authorized official Same address or phone

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1710495544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7153 W TINA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105272",
            "telephone_number": "623-205-9562",
            "fax_number": "623-476-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E SOUTHERN AVE STE 310",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825695",
            "telephone_number": "623-688-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "HERBERT",
        "name_suffix": "Jr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN129482",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Diane Forbes, M.N.S.,CCC-SLP
• Cathy Forbes, N.D.
• Mandi J Forbis, LMT
• Debra Ford, M.D.
• Gerald P Ford, M.D.
• Michelle R. Ford, PMHNP-BC
• Stephanie Theresa Ford
• Stevan Karl Forney, DDS
• Jessica Nicole Forshey
• Rachel Forte, PT, DPT

• Physical Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.