Organization Active NPI

Forte Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1922854405
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FORTE PHYSICAL THERAPY LLC
Practice address
4836 E McDowell Rd Ste 101
Phoenix, AZ 85008-7713
Phone
(480) 408-4822
Fax
(480) 409-9421
NPI assigned
Apr 25, 2024
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Brian Nicholas ForteNPI 1124465471
Title
Owner
Phone
(724) 554-5546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4836 E McDowell Rd Ste 101
Phoenix, AZ 85008-7713

Mailing address

5643 E Glade Ave
Mesa, AZ 85206-6730
Phone (724) 554-5546

Other practice location 1

5643 E Glade Ave
Mesa, AZ 85206-6730
Phone (724) 554-5546

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241227002472 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325575640 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1922854405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 E GLADE AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066730",
            "telephone_number": "724-554-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 E MCDOWELL RD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087713",
            "telephone_number": "480-408-4822",
            "fax_number": "480-409-9421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5643 E Glade Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852066730",
            "country_code": "US",
            "telephone_number": "724-554-5546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORTE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "FORTE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-554-5546"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.