Provider Demographics
NPI:1780233346
Name:FORTE PERFORMANCE AND PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:FORTE PERFORMANCE AND PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALPIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-201-1973
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:VT
Mailing Address - Zip Code:05465-0031
Mailing Address - Country:US
Mailing Address - Phone:206-201-1973
Mailing Address - Fax:
Practice Address - Street 1:126 IRISH SETTLEMENT ROAD
Practice Address - Street 2:
Practice Address - City:UNDERHILL
Practice Address - State:VT
Practice Address - Zip Code:05489-0548
Practice Address - Country:US
Practice Address - Phone:802-363-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-06
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy