Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Forma, PT

Individual provider Physical Therapist · NPI 1114322534

Elizabeth Forma, PT is a Physical Therapist in LA Grande, Oregon. Works from 2 locations. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

610 Sunset Dr
LA Grande, OR 97850-1269
Phone: (541) 963-1437
Fax: (541) 963-1890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 425 Kearney St, El Cerrito, CA 94530-3656 — (510) 524-2177

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 62036 (OR)
Physical Therapist Taxonomy 225100000X · Licence PT41633 (CA)

Record details

NPI number1114322534
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 28, 2014
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing addressPo Box 3290, La Grande, OR 97850-7290

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