Organization Active NPI

Forge Physical Therapy, PLLC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1144112582
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FORGE PHYSICAL THERAPY, PLLC
Practice address
550 Gates Ave Apt 2L
Brooklyn, NY 11221-1219
Phone
(717) 420-0594
NPI assigned
Jul 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Dr. Brett Matthew Warner, DPTNPI 1740759877
Title
Owner, Physical Therapist
Phone
(717) 420-0594

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

550 Gates Ave Apt 2L
Brooklyn, NY 11221-1219

Mailing address

550 Gates Ave Apt 2L
Brooklyn, NY 11221-1219
Phone (717) 420-0594

Other practice location 1

129 W 29th St Fl 2
New York, NY 10001-5192
Phone (646) 755-8125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250827001345 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436650074 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

129 W 29th St
Fl 2
New York, NY 10001
Phone (646) 755-8125

Practitioners & 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": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1144112582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GATES AVE APT 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211219",
            "telephone_number": "717-420-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 GATES AVE APT 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211219",
            "telephone_number": "717-420-0594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 W 29th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100015192",
            "country_code": "US",
            "telephone_number": "646-755-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORGE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "717-420-0594",
        "authorized_official_name_prefix": "Dr.",
        "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 Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.