Provider Demographics
NPI:1871843136
Name:FOREFRONT PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:FOREFRONT PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:231-468-9395
Mailing Address - Street 1:2212 QUEEN ANNE AVE N # 333
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2383
Mailing Address - Country:US
Mailing Address - Phone:206-279-2871
Mailing Address - Fax:
Practice Address - Street 1:311 TERRY AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5222
Practice Address - Country:US
Practice Address - Phone:206-279-2870
Practice Address - Fax:206-279-2872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty