Organization Active NPI

Forge Physio & Performance LLC

  • Physical Therapist
  • Sheridan, WY
National Provider Identifier
1073120358
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FORGE PHYSIO & PERFORMANCE LLC
Practice address
302 A St
Sheridan, WY 82801-3726
Phone
(307) 620-8172
Fax
(833) 487-1072
NPI assigned
Sep 30, 2020
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Alzheimer, DPTNPI 1679116289
Title
Co-Owner
Phone
(307) 620-8172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

302 A St
Sheridan, WY 82801-3726

Mailing address

302 A St
Sheridan, WY 82801-3726
Phone (307) 620-8172

Other practice location 1

350 A St
Sheridan, WY 82801-3726
Phone (307) 620-8172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220105000837 WY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931590775 Receives reassigned benefits from 3 practitioners
Practice locations: Sheridan, WY

National Provider Directory

National Provider Directory

Locations

350 A St
Sheridan, WY 82801
Phone (307) 620-8172

1095 Broadway St
Sheridan, WY 82801

302 A St
Sheridan, WY 82801
Phone (307) 620-8172

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1073120358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 A ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013726",
            "telephone_number": "307-620-8172",
            "fax_number": "833-487-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 A ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013726",
            "telephone_number": "307-620-8172",
            "fax_number": "833-487-1072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 A St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828013726",
            "country_code": "US",
            "telephone_number": "307-620-8172",
            "fax_number": "833-487-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORGE PHYSIO & PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "ALZHEIMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "307-620-8172",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.