Individual provider Active NPI

Michael Forsgren, MSPT

  • Physical Therapist
  • Yorba Linda, CA
National Provider Identifier
1902998065
Registry record updated Dec 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27916 Issued in CA
Practice address
18208 Laurel View Dr
Yorba Linda, CA 92886-4029
Phone
(714) 618-2916
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2011

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 PT00009751 WA
Physical Therapist 225100000X PT27916 CA Primary

Addresses

Primary practice location

18208 Laurel View Dr
Yorba Linda, CA 92886-4029

Mailing address

18208 Laurel View Dr
Yorba Linda, CA 92886-4029
Phone (714) 618-2916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT27916CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Tree Healthcare, Inc. PastSince Jun 1, 2022 Accepting new patients
Body Awareness Physical Therapy, Inc Physical Therapist Past Accepting new patients
Eureka Physical Therapy Physical Therapist PastSince Apr 6, 2010 Accepting new patients

Organizations & group practices 3

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323475200000",
    "number": "1902998065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18208 LAUREL VIEW DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864029",
            "telephone_number": "714-618-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18208 LAUREL VIEW DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864029",
            "telephone_number": "714-618-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSGREN",
        "first_name": "MICHAEL",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009751",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2011; 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.