MRS. SHELBY FORN (NPI# 1649509803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649509803 |
| Entity Type | Individual |
| Full Name | MRS. SHELBY FORN |
| Credential | MPT |
| Practice Address |
3301 Tareco Dr Los Angeles CA 90068-1527 |
| Practice Telephone | 3233332915 |
| Mailing Telephone | 3233332915 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT27055 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3301 TARECO DR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90068-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083029367 | Valley Creek Hospice, Inc. | Hospice Care, Community Based | 3179 Barbara Court, F, Los Angeles, CA 90068 | 2014-06-25 |
| 1376892299 | Julio C Rivas | Religious Nonmedical Practitioner | 6800 Treasure Trail, Los Angeles, CA 90068 | 2012-09-06 |
| 1477817708 | Beverly Hansen Weisblatt | Marriage & Family Therapist | 6491 Ivarene Ave., Los Angeles, CA 90068 | 2012-07-02 |
| 1306169180 | Kambiz Kamangar | Dentist | 3400 Cahuenga Bvld West, #310, Los Angeles, CA 90068 | 2010-03-08 |
| 1578891370 | Stepping Stones Pediatric Therapy | Home Health | 3301 Tareco Drive, Los Angeles, CA 90068 | 2009-12-07 |
| 1376724757 | Jonathan Everett Rubinow | Preventive Medicine | 2759 Creston Dr, Los Angeles, CA 90068 | 2007-11-14 |
| 1366653479 | Julie Elizabeth Berghofer | Music Therapist | 3855 Broadlawn Dr, Los Angeles, CA 90068 | 2007-05-24 |
| 1467484287 | Lanny Orlin | Marriage & Family Therapist | 3171 Los Feliz Blvd, Suite 200, Los Angeles, CA 90068 | 2006-07-06 |
| 1396880514 | Back In Balance Physical Therapy | Physical Therapist | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1001 | 2007-02-21 |
| 1003941253 | Erin Mcguire | Physical Therapist | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1001 | 2007-02-21 |
| Find all providers in zip 90068 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780119032 | Natalia Love | Physical Therapist | 11747 W Sunset Blvd, Apt. 218, Los Angeles, CA 90049-2964 | 2017-04-25 |
| 1194121319 | Shannon E Coughlin | Physical Therapist | 12023 Goshen Ave Apt 1, Los Angeles, CA 90049-6316 | 2014-11-16 |
| 1174827778 | Debra Kray | Physical Therapist | 11110 Ohio Ave Ste 206, Los Angeles, CA 90025-6349 | 2010-12-22 |
| 1780909762 | Natalia Pokras | Physical Therapist | 2211 Corinth Ave Ste 200, Los Angeles, CA 90064-1621 | 2010-04-01 |
| 1558480830 | Sharon P Silver | Physical Therapist | 9407 Cresta Dr, Los Angeles, CA 90035-4120 | 2007-03-28 |
| 1316569718 | Christina Marie Del Carmen | Physical Therapist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2020-05-08 |
| 1487280756 | Danielle Januszyk | Physical Therapist | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-03-19 |
| 1972143923 | Bloom Pediatrics | Physical Therapist | 1523 Wellesley Ave, Los Angeles, CA 90025-3629 | 2020-01-07 |
| 1104389873 | Ellen Sarah Kromnick | Physical Therapist | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2019-04-10 |
| 1780140848 | Lily Alexandra Bollinger | Physical Therapist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2019-02-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90068 |
Please comment or provide details below to improve the information on MRS. SHELBY FORN.
| 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.