Brett Dennis Forman in Ellsworth Afb - Physical Therapist
Brett Dennis Forman - NPI 1528155454
Brett Dennis Forman is a Physical Therapist in Ellsworth Afb, South Dakota. Brett Dennis Forman practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Brett Dennis Forman is 1528155454. The last update date is 2018-05-03.
Brett Dennis Forman's current location address is 2900 Doolittle Dr, Ellsworth Afb, South Dakota. You can contact this provider via phone number 6053851351. The mailing address for Brett Dennis Forman is 2900 Doolittle Dr, Ellsworth Afb, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brett Dennis Forman |
|---|---|
| Address | 2900 Doolittle Dr, Ellsworth Afb, South Dakota |
| Phone Number | 6053851351 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1528155454 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2018-05-03 |
Provider Mailing Address Detail
| Address | 2900 Doolittle Dr |
|---|---|
| City | Ellsworth Afb |
| State | South Dakota (SD) |
| Post Code | 577064821 |
| Phone Number | 6053851351 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 1209 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1209 | SD | LICENSE | |
| 5833862 | SD | -- | |
| 2360611 | SD | AMERICAN PPO |
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What is the unique identification code assigned to Brett Dennis Forman by the Centers for Medicare & Medicaid Services?
The Brett Dennis Forman has been issued the NPI (National Provider Identifier) 1528155454. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brett Dennis Forman?
The Brett Dennis Forman is physically situated at 2900 Doolittle Dr, in the city of Ellsworth Afb, state of SD, with the postal code 577064821.
What is Brett Dennis Forman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brett Dennis Forman's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date was the 1528155454 assigned to Brett Dennis Forman?
The Brett Dennis Forman was issued its 1528155454 on 2006-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Brett Dennis Forman's information last updated?
The Brett Dennis Forman's information was last updated on 2018-05-03.