Keisha N. Forde (NPI# 1548511843, PAC ID# 9739420118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1548511843 |
| PAC ID by PECOS | 9739420118 |
| Professional Enrollment ID | I20190411002714 |
| Full Name | Keisha N. Forde |
| Organization Legal Name | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES-NORTHDALE LLC |
| Address |
3903 Northdale Blvd Suite 111w Tampa FL 33624-1853 |
| Phone Number | 8134187350 |
| Gender | F |
| Medical School | NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 0749317709 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 | 8134187350 | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES-NORTHDALE LLC |
| Organization Legal Name | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES-NORTHDALE LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Hardy | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Kelly J Tangen | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Troy Schindo | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Sheldon Fulse | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Willem Stegeman | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Torie Mcintosh | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Julie T Blacker | Occupational Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Holly Schmidt-lawson | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Michael Gardner | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Tampa, FL 33624-1853 |
| Street Address |
3903 NORTHDALE BLVD SUITE 111W |
| City | TAMPA |
| State | FL |
| Zip | 33624-1853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Hardy | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Kelly J Tangen | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Troy Schindo | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Sheldon Fulse | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Willem Stegeman | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Torie Mcintosh | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Julie T Blacker | Occupational Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Holly Schmidt-lawson | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1853 |
| Michael Gardner | Physical Therapy | Optimal Performance and Physical Therapies-northdale LLC | 3903 Northdale Blvd, Tampa, FL 33624-1853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerilyn J Botwinik | Nurse Practitioner | 16411 Oakmanor Dr, Tampa, FL 33624-1234 | |
| Lon D Lynn | Family Medicine | 3910 Northdale Blvd, Suite 206, Tampa, FL 33624-1800 | |
| Steven Knezevich | Orthopedic Surgery | 3820 Northdale Blvd, 105a, Tampa, FL 33624-1834 | |
| Yakub A Pothiawala | Family Medicine | 3865 Northdale Blvd, Tampa, FL 33624-1861 | |
| Cynthia L Spencer | Nurse Practitioner | Florida Dermatology and Skin Cancer Specialists Pl | 4915 Ehrlich Rd, Tampa, FL 33624-2038 |
| Julia F Pizzurro | Nurse Practitioner | Florida Dermatology and Skin Cancer Specialists Pl | 4915 Ehrlich Rd, Tampa, FL 33624-2038 |
| Erica Conner | Nurse Practitioner | Florida Dermatology and Skin Cancer Specialists Pl | 4915 Ehrlich Rd, Tampa, FL 33624-2038 |
| Sandra P Carpenter | Nurse Practitioner | Florida Dermatology and Skin Cancer Specialists Pl | 4915 Ehrlich Rd, Tampa, FL 33624-2038 |
| Frankie Amarillas | Chiropractic | 5121 Ehrlich Rd, Suite 109, Tampa, FL 33624-2072 | |
| Glen A Gunderson | Chiropractic | 5111 Ehrlich Rd, Suite 128, Tampa, FL 33624-2074 | |
| Find all physicians in zip 33624 | |||
| City | TAMPA |
| Zip Code | 33624 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | TAMPA + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Keisha N. Forde.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.