# FORWARD PHYSICAL THERAPY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942774252
- **Authorized official:** KRISTEN WELLENKOTTER (CO-OWNER)
- **Authorized official phone:** (920) 265-6192

## Contact information

- **Practice address:** 102 W FULTON ST, EDGERTON, WI 53534-1839
- **Practice address phone:** (920) 265-6192
- **Mailing address:** 102 W FULTON ST, EDGERTON, WI 53534-1839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2019
- **Last updated:** 03/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100059717 | — | WI |
| 05 | — | 1649610809 | — | WI |