FORM TO THRIVE PHYSICAL THERAPY PLLC
NPI 1356208680
Clinic/Center - Physical Therapy in Webster, NY
About Form To Thrive Physical Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORM TO THRIVE PHYSICAL THERAPY PLLC (NPI 1356208680) is a healthcare organization registered as a physical therapy in Webster, New York and active in the NPI registry since January 2026. The organization lists Sean Davey, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Form To Thrive Physical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Form To Thrive Physical Therapy PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Form To Thrive Physical Therapy PLLC's NPI number?
The NPI number for Form To Thrive Physical Therapy PLLC is 1356208680. It was assigned to this organization in the NPPES registry on January 8, 2026.
Where is Form To Thrive Physical Therapy PLLC located?
Form To Thrive Physical Therapy PLLC is located at 365 Anna Cir, Webster, NY 14580. The listed phone number is (631) 682-6778.
What is Form To Thrive Physical Therapy PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Form To Thrive Physical Therapy PLLC enrolled in Medicare?
Yes. Form To Thrive Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Form To Thrive Physical Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Form To Thrive Physical Therapy PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Form To Thrive Physical Therapy PLLC was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Form To Thrive Physical Therapy Pllc · NPI 1356208680
Physical Therapy organization in Webster, New York. Organization record, active in the CMS NPPES registry since January 8, 2026.
## Identity
- **NPI:** 1356208680 (Entity type: Organization)
- **Enumerated:** January 8, 2026
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Sean Davey, SOLE MEMBER
## Practice location
- **Address:** 365 ANNA CIR, Webster, NY 14580-9685
- **Phone:** (631) 682-6778
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356208680) · Data from the CMS NPPES public registry.