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Amanda Ann Forman, DPT

NPI 1679904205ActiveIndividual· Physical Therapist· Somerdale, NJ

Physical Therapist (DPT) in Somerdale, New Jersey, licensed in NJ, with an NPI issued in December 2013. Medicare paid $35,044 for services to 30 patients in 2024.

Overview

NPI1679904205
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorNo
NPI issuedDec 8, 2013
Last updated in NPPESMar 3, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X40QA01532100NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (NJ)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients30
Services billed1,627 across 6 procedure codes
Paid by Medicare$35,044

Medicare sources and data years

Other physical therapists in Somerdale

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