Function Forward Physical Therapy LLC
NPI 1760057947ActiveOrganization· Physical Therapist· Matawan, NJ
Physical Therapist in Matawan, New Jersey, registered in NPPES in May 2021. The authorized official on file is Heather Domingues, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1760057947 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 20, 2021 |
| Last updated in NPPES | May 20, 2021 |
| Certified by provider | May 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NJ) |
|---|
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