MEDICARE: FORTE PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1922854405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORTE PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	5643 E GLADE AVE
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-6730
Country	:	US
Telephone Number	:	724-554-5546
Fax Number	:

Provider Business Practice Location Address
First Line	:	4836 E MCDOWELL RD STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008-7713
Country	:	US
Telephone Number	:	480-408-4822
Fax Number	:	480-409-9421

Authorized Official
Title or Position	:	OWNER
Name	:	BRIAN NICHOLAS FORTE
Credential	:
Telephone Number	:	724-554-5546

Provider Enumeration Date	:	04/25/2024
Last Update Date	:	12/10/2024

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Directions to “FORTE PHYSICAL THERAPY LLC ” Practice Location

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