Active NPIIndividual provider

Amanda A Forman, DPT

Physical Therapist in Somerdale, New Jersey

NPI Number1679904205
Practice location
700 S White Horse Pike, Somerdale, NJ 08083-1253
Fax
—
Last updated
March 3, 2016

Amanda Ann Forman is a Physical Therapist based in Somerdale, NJ. Amanda Ann Forman practices in Somerdale, NJ and has the professional credentials of DPT. The NPI Number for Amanda Ann Forman is 1679904205 and holds a License No. 40QA01532100 (NJ). The current practice location address for Amanda Ann Forman is 700 S White Horse Pike, Somerdale, NJ 08083-1253 and can be reached out via phone at 609-504-6930.

Provider Profile Details

NPI Number
1679904205
Provider Name
Amanda Ann Forman
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
700 S White Horse Pike, Somerdale, NJ 08083-1253
Phone Number
609-504-6930
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
December 8, 2013
Last Update Date
March 3, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
700 S White Horse Pike
Somerdale, NJ 08083-1253
Zip
08083-1253
Phone Number
609-504-6930
Somerdale, NJ 08083Get directions →

Provider Business Mailing Address Details

Address
700 S White Horse Pike
Somerdale, NJ 08083-1253
City
Somerdale
State
NJ
Zip
08083-1253
Phone Number
856-504-6930

License Information

License Number
40QA01532100
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda A Forman, DPT?

The NPI number of Amanda A Forman, DPT is 1679904205. It was assigned on December 8, 2013 and is currently active in the NPPES registry.

What is the specialty of Amanda A Forman, DPT?

Amanda A Forman, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01532100.

Where does Amanda A Forman, DPT practice?

The practice location is 700 S White Horse Pike, Somerdale, NJ 08083-1253. The office can be reached at 609-504-6930 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679904205 directly on the NPPES registry website.

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