Individual provider Active NPI

Jonathan Forde, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1780264937
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047053 Issued in NY
Practice address
10106 Avenue K
Brooklyn, NY 11236-4430
Phone
(347) 481-1340
NPI assigned
Apr 12, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 047053 NY Primary

Addresses

Primary practice location

10106 Avenue K
Brooklyn, NY 11236-4430

Mailing address

10106 Avenue K
Brooklyn, NY 11236-4430
Phone (347) 481-1340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Nov 14, 2022 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Nov 14, 2022 Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Aug 5, 2022 Accepting new patients
Yk Physical Therapy PLLC Physical Therapist CurrentSince Aug 27, 2022 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
One on One Physical Therapy Services PLLC Physical Therapist PastSince Aug 30, 2021 Accepting new patients
Better Motion Therapy LLC Physical Therapist PastSince Feb 1, 2021 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

111 E 210th St
Bronx, NY 10467

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

958 Nostrand Ave
Brooklyn, NY 11225
Phone (347) 423-9031

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1780264937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364430",
            "telephone_number": "347-481-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364430",
            "telephone_number": "347-481-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDE",
        "first_name": "JONATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.