Individual provider Active NPI

Tobin Deane Forbus, PT, DPT, MS

  • Physical Therapist
  • Verona, VA
National Provider Identifier
1902802580
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203618 Issued in VA
Practice address
1561 Commerce Rd Ste 402
Verona, VA 24482-9701
Phone
(540) 416-0530
NPI assigned
Jun 28, 2005
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 2305203618 VA Primary

Addresses

Primary practice location

1561 Commerce Rd Ste 402
Verona, VA 24482-9701

Mailing address

16 Ivy Ridge LN Ste 138
Fishersville, VA 22939-2354
Phone (540) 885-4413

Other practice location 1

16 Ivy Ridge Ln Ste 138
Fishersville, VA 22939-2354
Phone (540) 885-4413

Other identifiers 1

IdentifierTypeStateIssuer
294391OtherVAANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000540 VA Practitioner - Physical Therapist in Private Practice 6507980018 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 22, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 22, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past Accepting new patients
Advantage Physical Therapy & Sports Performance, P.C. Physical Therapist Past Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

1561 Commerce Rd
#402
Verona, VA 24482
Phone (540) 416-0110

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, 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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1902802580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 IVY RIDGE LN STE 138",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392354",
            "telephone_number": "540-885-4413",
            "fax_number": "540-885-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 COMMERCE RD STE 402",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244829701",
            "telephone_number": "540-416-0530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Ivy Ridge Ln Ste 138",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392354",
            "country_code": "US",
            "telephone_number": "540-885-4413",
            "fax_number": "540-885-7410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORBUS",
        "first_name": "TOBIN",
        "middle_name": "DEANE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "294391",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.