FORME REHABILITATION, INC (NPI# 1194103135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194103135 |
| Entity Type | Organization |
| Organization Name | FORME REHABILITATION, INC |
| Other Organization Name | FORME ENDOCRINOLOGY |
| Practice Address |
7-11 S Broadway Suite 100 White Plains NY 10601-3531 |
| Mailing Address |
5 Renaissance Sq 11-g White Plains NY 10601-3042 |
| Practice Telephone | 9147234900 |
| Practice Fax Number | 9144485275 |
| Mailing Telephone | 9147234900 |
| Mailing Fax Number | 9149029011 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | GINA CAPPELLI (PRESIDENT) |
| Authorized Official Telephone | 9147234900 |
| Is Organization Subpart | Y |
| Parent Organization Name | FORME REHABILITATION, INC. |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 5947200R | NY | Ambulatory Health Care Facilities |
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
5947200R | NY | Ambulatory Health Care Facilities |
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
5947200R | NY | Ambulatory Health Care Facilities |
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
5947200R | NY | Ambulatory Health Care Facilities |
| Y | 284300000X | Special Hospital | 5947200R | NY | Hospitals |
| Other Name | Type Code |
|---|---|
| Forme Endocrinology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154709244 | Forme Rehabilitation, Inc | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1366820458 | Forme Rehabilitation, Inc | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1447638531 | Forme Rehabilitation, Inc | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1790163889 | Forme Rehabilitation, Inc | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| Street Address |
7-11 S BROADWAY SUITE 100 |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10601-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669479762 | Personal Touch Home Care of Westchester Inc | Home Health | 7-11 S Broadway, Suite #300, White Plains, NY 10601-3531 | 2005-07-05 |
| 1265048722 | Kaitlin Keeley | Physical Therapist | 7-11 S Broadway, White Plains, NY 10601-3531 | 2020-09-21 |
| 1952875841 | Jennifer Rae Gill | Nurse Practitioner | 7-11 S Broadway, White Plains, NY 10601-3531 | 2019-01-14 |
| 1124569785 | Nancy Donworth | Counselor | 7-11 S Broadway, Suite 317, White Plains, NY 10601-3531 | 2017-03-15 |
| 1023496064 | Forme Rehabilitation, Inc. | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1154709244 | Forme Rehabilitation, Inc | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1366820458 | Forme Rehabilitation, Inc | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1447638531 | Forme Rehabilitation, Inc | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1790163889 | Forme Rehabilitation, Inc | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| 1295113231 | Forme Rehabilitation, Inc. | Clinic/Center | 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 | 2015-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089403 | Floras Vision Inc | Eyewear Supplier (Equipment, not the service) | Galleria At White Plains, 100 Main Street, Suite 395, White Plains, NY 10601 | 2019-08-22 |
| 1154988988 | Shemel Jackson | Registered Nurse | Clover Health Services, 75,south Broadway, White Plains, NY 10601 | 2019-05-28 |
| 1720430713 | Gabriel Botero Jr. | Social Worker | White Plains Vet Center, 300 Hamilton Avenue, 1st Floor, Suite C, White Plains, NY 10601 | 2016-07-01 |
| 1538526421 | Edwige Sunshine Lherisson | Registered Nurse | 79 East Post Rd, White Plains, NY 10601 | 2016-01-22 |
| 1174995005 | Dean Dekranis | Social Worker | 33 Barker Avenue 3a, White Plains, NY 10601 | 2015-10-30 |
| 1922482512 | Family Ties of Westchester, Inc. | Community/Behavioral Health | 112 East Post Road, 3rd Floor, White Plains, NY 10601 | 2015-07-14 |
| 1609257955 | Marlissa Fondechene | Chiropractor | 199 Main St Ste 608, White Plains, NY 10601 | 2015-06-12 |
| 1184059933 | Kelly Brooke Graling | Psychologist | 1 N Broadway Ste 704, White Plains, NY 10601 | 2013-09-12 |
| 1750651469 | John A. Coleman School | Local Education Agency (LEA) | 2 Canfield Avenue, Apt #832, White Plains, NY 10601 | 2012-01-11 |
| 1750677118 | Haven Lindsay Caldwell | Internal Medicine | Cancer and Blood Medical Services of Ny, PC, 2-4 Longview Avenue, White Plains, NY 10601 | 2011-06-23 |
| Find all providers in zip 10601 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508979162 | Doctors United, Inc | Special Hospital | 174 Grand St, White Plains, NY 10601-4803 | 2006-08-17 |
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| 1285173716 | Memorial Sloan Kettering Cancer Center | Special Hospital | 117 Hartford Ave, Staten Island, NY 10310-3111 | 2017-02-16 |
| 1083151096 | Ori Barzilai | Special Hospital | 170 Amsterdam Ave Apt 16a, New York, NY 10023-5073 | 2017-01-28 |
| 1619412822 | Alison Beaulieu | Special Hospital | 716 Harry L Dr, Johnson City, NY 13790-1119 | 2016-12-23 |
| 1740735216 | Kate Anne Harrington | Special Hospital | Nyu Langone Orthopedic Center, 333 E 38th St, New York, NY 10016 | 2016-08-24 |
| 1083067391 | Hamish Alexander | Special Hospital | 250 E 77th St, Apt 1a, New York, NY 10075-2131 | 2016-07-21 |
| 1184087074 | Instacareems | Special Hospital | 688 Crescent Street, Brooklyn, NY 11208 | 2016-03-30 |
| 1992177497 | Giuseppe Galea | Special Hospital | 5700 Arlington Ave Apt 20u, Bronx, NY 10471-1523 | 2015-10-22 |
| 1508279936 | Nyu Hospital for Joint Diseases | Special Hospital | 15139 12th Ave, Whitestone, NY 11357-1829 | 2014-06-03 |
| 1508287384 | New York State Department of Correctional Services | Special Hospital | 247 Harris Rd, Bedford Hills, NY 10507-2418 | 2013-12-23 |
| Find all providers with the same taxonomy | ||||
| City | WHITE PLAINS |
| Zip Code | 10601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.