MRS. BOBBI J FORMAN (NPI# 1245446467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245446467 |
| Entity Type | Individual |
| Full Name | MRS. BOBBI J FORMAN |
| Credential | P.T. |
| Practice Address |
110 Belmont Rd Madison WI 53714-3129 |
| Mailing Address |
312 Anna St Waterloo WI 53594-1165 |
| Practice Telephone | 6082497391 |
| Mailing Telephone | 9204782761 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2013-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 3822-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40180100 | 05 |
| Street Address |
110 BELMONT RD |
| City | MADISON |
| State | WI |
| Zip Code | 53714-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013056886 | Joan C Sorteberg | Occupational Therapist | 110 Belmont Rd, Madison, WI 53714-3129 | 2007-02-06 |
| 1710498969 | Jessica Marie Lively | Speech-Language Pathologist | 110 Belmont Rd, Madison, WI 53714-3129 | 2017-10-16 |
| 1114456050 | Katelyn Eve Wedig | Speech-Language Pathologist | 110 Belmont Rd, Madison, WI 53714-3129 | 2017-06-05 |
| 1609167428 | Mary H Hastings | Physical Therapist | 110 Belmont Rd, Madison, WI 53714-3129 | 2011-04-27 |
| 1407166242 | Nicole Minniti-bohl | Speech-Language Pathologist | 110 Belmont Rd, Madison, WI 53714-3129 | 2010-10-14 |
| 1154564391 | Anne Catherine Malm | Occupational Therapist | 110 Belmont Rd, Madison, WI 53714-3129 | 2009-04-17 |
| 1215176243 | Brooke Michael Mengwasser | Physical Therapist | 110 Belmont Rd, Madison, WI 53714-3129 | 2009-02-15 |
| 1346417128 | Aaron L Reese | Speech-Language Pathologist | 110 Belmont Rd, Madison, WI 53714-3129 | 2008-05-12 |
| 1396942546 | Debora W Olin | Occupational Therapist | 110 Belmont Rd, Madison, WI 53714-3129 | 2007-06-29 |
| 1548479017 | Nicholas Grant Matthews | Physical Therapist | 110 Belmont Rd, Madison, WI 53714-3129 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069421 | Access Elevator, Inc. | Contractor | 4229 Argosy Ct., Suite 2b, Madison, WI 53714 | 2020-03-26 |
| 1629426762 | Bethany Domoto | Occupational Therapist | 210 Dempsey Rd, Madison, WI 53714 | 2016-05-31 |
| 1871984989 | Warren Family Dental | Dentist | 4226 Milwaukee Street, Madison, WI 53714 | 2015-02-11 |
| 1316103567 | Heather Marie Kramer | Occupational Therapy Assistant | 5755 Burke Rd, Madison, WI 53714 | 2008-08-06 |
| 1841402906 | Genesis Eldercare Rehab Services | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2007-05-03 |
| 1902928872 | Christine Haag | Dentist | 758 Corporate Dr., Suite 201, Madison, WI 53714 | 2007-04-04 |
| 1366958522 | Dana Johanek | Acupuncturist | 4222 Milwaukee St, 17, Madison, WI 53714 | 2017-12-22 |
| 1003338575 | Lacrima M Goldberg | Dentist | 826 Atlas Ave, Madison, WI 53714 | 2017-07-17 |
| 1497127120 | Kimberly Ann Klein | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2015-10-21 |
| 1437310604 | Pediatric Dental Specialists of Madison LLC | Dentist | 49 N Walbridge Ave, Madison, WI 53714 | 2008-06-20 |
| Find all providers in zip 53714 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102937 | Kathleen Jerry | Physical Therapist | 4414 Dwight Dr Apt 5, Madison, WI 53704-3561 | 2020-10-21 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1508494881 | Jennifer S Resner | Physical Therapist | 7707 N Brookline Dr, Madison, WI 53719-3510 | 2020-03-31 |
| 1457999898 | Catherine Meyers | Physical Therapist | 44 Hughes Rd Ste 1400, Madison, AL 35758-2222 | 2019-12-17 |
| 1194361816 | Jaivikaben Patel | Physical Therapist | 5104 Brookside Dr Apt 205, Madison, WI 53718-1903 | 2019-11-18 |
| 1205481124 | Ian Carroll | Physical Therapist | 1919 Gallatin Pike N Ste 102, Madison, TN 37115-2064 | 2019-08-07 |
| 1053977975 | Meeta Ravi Loya | Physical Therapist | 502 Plaza Dr Unit 114, Madison, WI 53719-3831 | 2019-05-15 |
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1619443801 | Logan Thorp | Physical Therapist | 5565 Tancho Dr, Madison, WI 53718-1901 | 2018-10-16 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| Find all providers in MADISON | ||||
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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.