FORME REHABILITATION, INC


Address: 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531
Phone: 9147234900

FORME REHABILITATION, INC (NPI# 1447638531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447638531
Entity Type Organization
Organization Name FORME REHABILITATION, INC
Other Organization Name FORME PAIN MANAGEMENT
Practice Address 7-11 S Broadway
Suite 100
White Plains
NY 10601-3531
Mailing Address 5 Renaissance Sq
11-g
White Plains
NY 10601-3042
Practice Telephone 9147234900
Practice Fax Number 9144485275
Mailing Telephone 9147234900
Mailing Fax Number 9149029011
Enumeration Date 2015-05-11
Last Update Date 2015-05-11
Authorized Official Name GINA CAPPELLI (PRESIDENT)
Authorized Official Telephone 9147234900
Is Organization Subpart Y
Parent Organization Name FORME REHABILITATION, INC
Parent Organization TIN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center 5947200R NY Ambulatory Health Care Facilities
N 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
5947200R NY Ambulatory Health Care Facilities
N 261QI0500X Clinic/Center
Specialization: Infusion Therapy
5947200R NY Ambulatory Health Care Facilities
N 261QM2500X Clinic/Center
Specialization: Medical Specialty
5947200R NY Ambulatory Health Care Facilities
N 261QP3300X Clinic/Center
Specialization: Pain
5947200R NY Ambulatory Health Care Facilities
N 261QR0200X Clinic/Center
Specialization: Radiology
5947200R NY Ambulatory Health Care Facilities
Y 284300000X Special Hospital 5947200R NY Hospitals

Other Provider/Organization Names

Other Name Type Code
Forme Pain Management Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154709244 Forme Rehabilitation, Inc Clinic/Center 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 2015-05-11
1366820458 Forme Rehabilitation, Inc Clinic/Center 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 2015-05-11
1790163889 Forme Rehabilitation, Inc Clinic/Center 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 2015-05-11
1194103135 Forme Rehabilitation, Inc Clinic/Center 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 2015-05-11

Office Location

Street Address 7-11 S BROADWAY
SUITE 100
City WHITE PLAINS
State NY
Zip Code 10601-3531

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669479762 Personal Touch Home Care of Westchester Inc Home Health 7-11 S Broadway, Suite #300, White Plains, NY 10601-3531 2005-07-05
1265048722 Kaitlin Keeley Physical Therapist 7-11 S Broadway, White Plains, NY 10601-3531 2020-09-21
1952875841 Jennifer Rae Gill Nurse Practitioner 7-11 S Broadway, White Plains, NY 10601-3531 2019-01-14
1124569785 Nancy Donworth Counselor 7-11 S Broadway, Suite 317, White Plains, NY 10601-3531 2017-03-15
1023496064 Forme Rehabilitation, Inc. Clinic/Center 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 2015-05-11
1154709244 Forme Rehabilitation, Inc Clinic/Center 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 2015-05-11
1366820458 Forme Rehabilitation, Inc Clinic/Center 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 2015-05-11
1790163889 Forme Rehabilitation, Inc Clinic/Center 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 2015-05-11
1295113231 Forme Rehabilitation, Inc. Clinic/Center 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 2015-05-11
1194103135 Forme Rehabilitation, Inc Clinic/Center 7-11 S Broadway, Suite 100, White Plains, NY 10601-3531 2015-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265089403 Floras Vision Inc Eyewear Supplier (Equipment, not the service) Galleria At White Plains, 100 Main Street, Suite 395, White Plains, NY 10601 2019-08-22
1154988988 Shemel Jackson Registered Nurse Clover Health Services, 75,south Broadway, White Plains, NY 10601 2019-05-28
1720430713 Gabriel Botero Jr. Social Worker White Plains Vet Center, 300 Hamilton Avenue, 1st Floor, Suite C, White Plains, NY 10601 2016-07-01
1538526421 Edwige Sunshine Lherisson Registered Nurse 79 East Post Rd, White Plains, NY 10601 2016-01-22
1174995005 Dean Dekranis Social Worker 33 Barker Avenue 3a, White Plains, NY 10601 2015-10-30
1922482512 Family Ties of Westchester, Inc. Community/Behavioral Health 112 East Post Road, 3rd Floor, White Plains, NY 10601 2015-07-14
1609257955 Marlissa Fondechene Chiropractor 199 Main St Ste 608, White Plains, NY 10601 2015-06-12
1184059933 Kelly Brooke Graling Psychologist 1 N Broadway Ste 704, White Plains, NY 10601 2013-09-12
1750651469 John A. Coleman School Local Education Agency (LEA) 2 Canfield Avenue, Apt #832, White Plains, NY 10601 2012-01-11
1750677118 Haven Lindsay Caldwell Internal Medicine Cancer and Blood Medical Services of Ny, PC, 2-4 Longview Avenue, White Plains, NY 10601 2011-06-23
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Taxonomy Information

Taxonomy Code 284300000X
Grouping Hospitals
Classification Special Hospital

Taxonomy Definition

A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
Notes: Source: AHA Guide, Registration section, p. A5.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508979162 Doctors United, Inc Special Hospital 174 Grand St, White Plains, NY 10601-4803 2006-08-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770046351 Ralph Lauren Center for Cancer Care and Prevention Special Hospital 1919 Madison Ave Frnt 2, New York, NY 10035 2019-04-10
1285173716 Memorial Sloan Kettering Cancer Center Special Hospital 117 Hartford Ave, Staten Island, NY 10310-3111 2017-02-16
1083151096 Ori Barzilai Special Hospital 170 Amsterdam Ave Apt 16a, New York, NY 10023-5073 2017-01-28
1619412822 Alison Beaulieu Special Hospital 716 Harry L Dr, Johnson City, NY 13790-1119 2016-12-23
1740735216 Kate Anne Harrington Special Hospital Nyu Langone Orthopedic Center, 333 E 38th St, New York, NY 10016 2016-08-24
1083067391 Hamish Alexander Special Hospital 250 E 77th St, Apt 1a, New York, NY 10075-2131 2016-07-21
1184087074 Instacareems Special Hospital 688 Crescent Street, Brooklyn, NY 11208 2016-03-30
1992177497 Giuseppe Galea Special Hospital 5700 Arlington Ave Apt 20u, Bronx, NY 10471-1523 2015-10-22
1508279936 Nyu Hospital for Joint Diseases Special Hospital 15139 12th Ave, Whitestone, NY 11357-1829 2014-06-03
1508287384 New York State Department of Correctional Services Special Hospital 247 Harris Rd, Bedford Hills, NY 10507-2418 2013-12-23
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Competitor

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City WHITE PLAINS
Zip Code 10601

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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