Forward Physical Therapy & Wellness LLC
Organization Active NPI Physical Therapy Clinic/Center · Canaan, CT
NPI 1730075201 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1730075201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- FORWARD PHYSICAL THERAPY & WELLNESS LLC
- Practice address
- 117 Main St
Canaan, CT 06018-2463 - Phone
- (860) 921-3882
- NPI assigned
- Jun 13, 2025
- Organization subpart
- No
Authorized official
- Name
- Ms. Jane Erin Simonds, PT
- Title
- Owner
- Phone
- (860) 921-3882
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250807000357 | CT | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6608374921 |
Receives reassigned benefits from 1 practitioner Practice locations: Canaan, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
117 Main St
Canaan, CT 06018-2463
Mailing address
PO Box 1133
Canaan, CT 06018-1133
Phone (860) 921-3882
Other providers in Canaan, CT
- Lobna Elsarafy
- Evolving Tree Therapy LLC
- Zachary Farrell
- Kathryn Fitzgerald
- Paul H Foeller
- Marie Gallerani
- Hancock Pharmacy at Canaan, Inc.
- Hancock Pharmacy at Canaan, Inc.
- Sophia Hartell
- Edward Heacox
All providers in Canaan, CT · Physical Therapy Clinic/Center in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.