Individual provider Active NPI

Magan Forman, PT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1821086786
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014510 Issued in DE
Practice address
325 Oracle Rd
Wilmington, DE 19808-1562
Phone
(443) 386-2365
NPI assigned
Oct 13, 2005
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20107 MD
Physical Therapist 225100000X J1-0014510 DE Primary

Addresses

Primary practice location

325 Oracle Rd
Wilmington, DE 19808-1562

Mailing address

325 Oracle Rd
Wilmington, DE 19808-1562
Phone (443) 386-2365

Other practice location 1

2700 Quarry Lake Dr
Suite 300
Baltimore, MD 21209-2230
Phone (410) 377-8900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address magan.forman.1@9012.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221116000929 DE Practitioner - Physical Therapist in Private Practice 2668435306 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians
First State Orthopaedics PAGroup PAC ID 6103800057, 97 clinicians

Practice addresses (Care Compare)

256 Fox Hunt Dr
Bear, DE 19701-2536
Phone (302) 834-8650

750 Prides Xing
Suite 112
Newark, DE 19713-6107
Phone (302) 864-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014510DEMDPhysical Therapist
20107MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Hen Physical Therapy, Inc. CurrentSince Apr 6, 2024 Accepting new patients
Blue Hen Physical Therapy, Inc. CurrentSince Apr 6, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Jul 15, 2022 Accepting new patients
First State Orthopaedics, PA Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Rehabclinics SPT Inc Current Accepting new patients
Rehabclinics SPT Inc Physical Therapist CurrentSince Jul 15, 2022 Accepting new patients
First State Orthopaedics PA Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Physiotherapy Associates Inc CurrentSince Jul 15, 2022 Accepting new patients
Physiotherapy Associates, Inc. Current Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jul 15, 2022 Accepting new patients
Orthopaedic Specialty Center Past Accepting new patients

Locations

256 Foxhunt Dr
Bear, DE 19701
Phone (302) 834-8650

256 Foxhunt Dr
#50595
Bear, DE 19701
Phone (302) 834-8650

1030 Forrest Ave
Ste 105A
Dover, DE 19904
Phone (302) 268-8880

6286 Limestone Rd
Unit A2
Hockessin, DE 19707
Phone (302) 307-4003

601 Tower Ln
Ste 202
Middletown, DE 19709
Phone (302) 268-8880

320 Grove Ln
Newark, DE 19711
Phone (302) 565-2244

425 New London Rd
Newark, DE 19711
Phone (302) 453-1588

750 Prides Xing
Ste 112
Newark, DE 19713
Phone (302) 864-2222

1722 Naamans Rd
Wilmington, DE 19810
Phone (302) 722-6419

3567 Silverside Rd
Wilmington, DE 19810
Phone (302) 453-1588

Organizations & group practices 12

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1821086786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ORACLE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081562",
            "telephone_number": "443-386-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ORACLE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081562",
            "telephone_number": "443-386-2365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Quarry Lake Dr",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212092230",
            "country_code": "US",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-3156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "MAGAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20107",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "magan.forman.1@9012.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2700 Quarry Lake Dr",
            "address_2": "Suite 300",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212092230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.