Form Medical, PLLC
NPI 1831616390 · Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician · Denver, CO
Form Medical, PLLC is a Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician organization in Denver, CO (NPI 1831616390).
Provider details
- NPI number
- 1831616390
- Entity type
- Organization
- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Kelner, Physician/Manager(720) 370-9559
- License
- DR.0058123 (CO)
Specialties & taxonomies
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081N0008XLicense DR.0058123 (CO)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Form Medical
Registry dates
- Enumerated
- 2017-08-25
- Last updated
- 2022-07-21
Frequently asked questions
- What is Form Medical, PLLC's NPI number?
- Form Medical, PLLC's National Provider Identifier (NPI) is 1831616390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Form Medical, PLLC?
- Form Medical, PLLC is classified in the NPPES registry as Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Form Medical, PLLC located?
- Form Medical, PLLC's practice location on file with NPPES is 1525 Raleigh St Ste 220, Denver, CO 80204-1374.
- What is Form Medical, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Form Medical, PLLC is (720) 370-9559.
- Who is the authorized official for Form Medical, PLLC?
- The authorized official listed on Form Medical, PLLC's NPPES record is Jessica Kelner, Physician/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Form Medical, PLLC's NPI active?
- Yes — Form Medical, PLLC's NPI (1831616390) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.