Active NPI
Forged Physical Therapy
- Physical Therapist
- Fuquay Varina, NC
National Provider Identifier
1114736162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- FORGED PHYSICAL THERAPY
- Doing business as
- Forged Physical Therapy and Performance
- Practice address
- 1372 N Main St
Fuquay Varina, NC 27526-2617 - Phone
- (336) 686-9822
- NPI assigned
- Jan 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Garner Pittman, DPT
- Title
- Physical Therapist, Owner
- Phone
- (336) 686-9822
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1372 N Main St
Fuquay Varina, NC 27526-2617
Mailing address
71 Cardona CT
Fuquay Varina, NC 27526-5284
Other names 1
- Forged Physical Therapy and Performance
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780876800000",
"number": "1114736162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 CARDONA CT",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275265284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1372 N MAIN ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262617",
"telephone_number": "336-686-9822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORGED PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-04",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A",
"authorized_official_last_name": "PITTMAN",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "GARNER",
"authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
"authorized_official_telephone_number": "336-686-9822",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Forged Physical Therapy and Performance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.