Liv Forberg, MS,PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006728 Issued in CT

Practice address

66 Grove St
Suite a
Ridgefield, CT 06877-4112

Phone

(203) 438-1898

Fax

(203) 438-1864

NPI assigned

Feb 6, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Ridgefield Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Ridgefield, CT
  • NPI 1053593913

  Physical Therapist

  NPD (past)
• Wilton Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Wilton, CT
  • NPI 1336225036
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821060666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 GROVE ST",
            "address_2": "SUITE A",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774112",
            "telephone_number": "203-438-1898",
            "fax_number": "203-438-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 GROVE ST",
            "address_2": "SUITE A",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774112",
            "telephone_number": "203-438-1898",
            "fax_number": "203-438-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBERG",
        "first_name": "LIV",
        "credential": "MS,PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "Q00H4",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristen Sara Fitzgerald, MA, LPC
• Kirsten P. Fitzgerald, FNP, DNP-BC
• Pamela Maria Fitzpatrick
• Kelsey Lauren Flanagan, DDS
• Eva Fontaine, LMFT
• Justin Guy Ford, DO
• Robin B Forman Rose, D.O.
• Rebekah Forni
• Joanna G Forrest, LPC
• Ava Reese Fowler, OTR

• Physical Therapist in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Physical Therapist in Connecticut

• 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.