Forrest Redd, Physical Therapist
Physical Therapy Assistant in Buffalo, IL. Individual provider (NPI-1).
NPI number1780969337
StatusActive
Last updated in NPPESOct 14, 2011
Details
- NPI
- 1780969337
- Entity type
- Individual (NPI-1)
- Name
- Forrest Redd
- Credential
- Physical Therapist
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2011
- Last updated
- Oct 14, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 160.001902 | IL | Yes |
Practice location
100 S Main StBuffalo, IL 62515-6225
Phone 217-502-7253
Mailing address
100 S Main StBuffalo, IL 62515-6225
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