Individual provider Active NPI

Ciara P Forde, DPT

  • Physical Therapist
  • Dorchester, MA
National Provider Identifier
1780351668
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25621 Issued in MA
Practice address
540 Gallivan Blvd Ste 2
Dorchester, MA 02124-5463
Phone
(617) 282-8080
Fax
(617) 282-9988
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 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 25621 MA Primary

Addresses

Primary practice location

540 Gallivan Blvd Ste 2
Dorchester, MA 02124-5463

Mailing address

703 Granite St Ste 3
Braintree, MA 02184-5350
Phone (781) 961-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210902000355 MA Practitioner - Physical Therapist in Private Practice 2567868367 Reassigns benefits to 2 organizations
I20260304003349 FL Practitioner - Physical Therapist in Private Practice 2567868367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Girl Fit Physical Therapy IncGroup PAC ID 7315227733, 9 clinicians
Peoples Physical Therapy IncGroup PAC ID 2567367030, 17 clinicians

Practice addresses (Care Compare)

130 Rumford Ave
Suite 108
Auburndale, MA 02466-1367
Phone (617) 618-9290

6300 N Wickham Rd
Suite 133B
Melbourne, FL 32940-2029
Phone (321) 421-7117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25621MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Girl Fit Physical Therapy, Inc. Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Aug 27, 2021 Accepting new patients
Peoples Physical Therapy Inc Physical Therapist CurrentSince Mar 2, 2026 Accepting new patients
Ciara Forde PT, DPT, CSCS PLLC Current Accepting new patients

Locations

6300 N Wickham Rd
Ste 133B
Melbourne, FL 32940
Phone (321) 421-7117

1950 Viera Blvd
Ste 107108
Rockledge, FL 32955
Phone (321) 622-4286

130 Rumford Ave
Ste 108
Auburndale, MA 02466
Phone (617) 618-9290

703 Granite St
Ste 3
Braintree, MA 02184

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

703 Granite St
Fl 3
Braintree, MA 02184

540 Gallivan Blvd
Ste 2
Dorchester, MA 02124
Phone (617) 282-8080

540 Gallivan Blvd
Ste 1
Dorchester, MA 02124
Phone (617) 282-8080

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1780351668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 GALLIVAN BLVD STE 2",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021245463",
            "telephone_number": "617-282-8080",
            "fax_number": "617-282-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDE",
        "first_name": "CIARA",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.