Individual provider Active NPI

Edward David Foresman, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1922255173
Registry record updated May 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL-10139 Issued in CO
Practice address
600 S Cherry St Ste 145
Denver, CO 80246-1703
Phone
(303) 475-5102
Fax
(844) 689-1158
NPI assigned
Aug 19, 2008
Last updated
May 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2021

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 10139 CO
Physical Therapist 225100000X PTL-10139 CO Primary

Addresses

Primary practice location

600 S Cherry St Ste 145
Denver, CO 80246-1703

Mailing address

567 S Grape St
Denver, CO 80246-1416
Phone (303) 475-5102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110506000449 CO Practitioner - Physical Therapist in Private Practice 5698805323 Reassigns benefits to 1 organization

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
Foremost Therapeutics PLLCGroup PAC ID 5597164277, 2 clinicians

Practice addresses (Care Compare)

567 S Grape St
Denver, CO 80246-1416

600 S Cherry St
Suite 145
Denver, CO 80246-1703
Phone (303) 475-5102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL-10139COMDPhysical Therapist
10139COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Physical Therapy, Fitness and Wellness LLC CurrentSince May 16, 2021 Accepting new patients
Foremost Therapeutics PLLC Physical Therapist CurrentSince Apr 11, 2021 Accepting new patients
Advanced Physical & Sports Therapy, LLC Physical Therapist PastSince Mar 30, 2010 Accepting new patients

Locations

600 S Cherry St
Ste 145
Denver, CO 80246
Phone (303) 475-5102

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, 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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620518400000",
    "number": "1922255173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 S GRAPE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461416",
            "telephone_number": "303-475-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S CHERRY ST STE 145",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461703",
            "telephone_number": "303-475-5102",
            "fax_number": "844-689-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESMAN",
        "first_name": "EDWARD",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-05-09",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10139",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL-10139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

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