Individual provider · Type 1 NPI

Terry Forman, CTRI, ESMHL

Contractor · Hudson, FL

NPI number 1780537670 Active

Practice location

11820 Denton Ave
Hudson, FL 34667-5419

Fax (888) 345-5315

Mailing address

13803 Michelle Ave
Hudson, FL 34667-1542

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X6997980 (FL)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1780537670

Terry Forman, CTRI, ESMHL's National Provider Identifier is 1780537670, issued on Feb 19, 2026. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Hudson, FL. The record was last updated on Feb 19, 2026.