Forest McDowell

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4270 Minton Rd Ste 120
West Melbourne, FL 32904-9579

Phone

(951) 696-9353

Fax

(951) 973-7216

NPI assigned

Aug 30, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor City Physical Therapy, PAGroup PAC ID 9335167790, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Harbor City Physical Therapy, PA

  • Physical Therapist
  • Melbourne, FL
  • NPI 1033243936
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871603910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 E EAU GALLIE BLVD STE 106",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374252",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 MINTON RD STE 120",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329049579",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "FOREST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871603910",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K3234",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT2813",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessibelle Mashkow, RBT
• Patricia Diane Mashkow
• Laurie L. Maxwell, NP
• Martin Abraham Maya, DDS
• Melissa Jo McCutcheon
• Joshua McGough, RN
• Traci McGough, ED.S, NCSP
• Medfast Urgent Care Centers, LLC.
• Medical Equipment and Supplies of America LLC
• Ronald Zashary Mendez, MD

• Physical Therapist in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.