Individual provider Active NPI

James Forbes

  • Physical Therapist
  • Trumbull, CT
National Provider Identifier
1881265874
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5718 Main St
Trumbull, CT 06611-3030
Phone
(203) 445-0845
Fax
(203) 445-0846
NPI assigned
Jul 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 Primary

Addresses

Primary practice location

5718 Main St
Trumbull, CT 06611-3030

Mailing address

3 Sylvester CT
Rocky Point, NY 11778-7902

Other practice location 1

1499 Post Rd
Fairfield, CT 06824-5940
Phone (203) 255-6535

Other identifiers 1

IdentifierTypeStateIssuer
193400000XMedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL peggy.gallon@yahoo.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001050 CT Practitioner - Physical Therapist in Private Practice 7810393501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Holding Company, LLCGroup PAC ID 3678836061, 27 clinicians

Practice addresses (Care Compare)

19 Old Kings Hwy S
Suite 120
Darien, CT 06820-4532
Phone (201) 621-0050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paddy Jarit LLC CurrentSince Jul 3, 2022 Accepting new patients
Elevate PT - Trumbull PLLC CurrentSince Feb 1, 2024 Accepting new patients
Elevate Holding Company, LLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Elevate Professional Services, LLC PastSince Feb 1, 2024 Accepting new patients
Elevate PT- Stamford PLLC PastSince Jul 25, 2019 Accepting new patients

Locations

19 Old Kings Hwy S
Ste 120
Darien, CT 06820
Phone (201) 621-0050

1499 Post Rd
Fairfield, CT 06824
Phone (203) 255-6535

1234 Summer St
Ste 102
Stamford, CT 06905
Phone (203) 653-7269

6540 Main St
Ste 5
Trumbull, CT 06611
Phone (203) 816-0100

276 Post Rd W
Ste 210
Westport, CT 06880
Phone (203) 635-7110

334 Underhill Ave
Ste 1A
Yorktown Hts, NY 10598
Phone (914) 245-0298

Organizations & group practices 5

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1881265874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SYLVESTER CT",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117787902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 MAIN ST",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113030",
            "telephone_number": "203-445-0845",
            "fax_number": "203-445-0846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1499 Post Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068245940",
            "country_code": "US",
            "telephone_number": "203-255-6535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORBES",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193400000X",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "peggy.gallon@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 Sylvester Ct",
            "city": "Rocky Point",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117787902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.