Forge Physical Therapy & Performance

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

FORGE PHYSICAL THERAPY & PERFORMANCE

Practice address

6816 Omaha Dr
Midland, GA 31820-4185

Phone

(605) 390-4111

NPI assigned

Oct 12, 2021

Last updated

Oct 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittany Tierney, DPT

Title

Owner

Phone

(605) 390-4111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1225790728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6816 OMAHA DR",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204185",
            "telephone_number": "605-390-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 OMAHA DR",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204185",
            "telephone_number": "605-390-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGE PHYSICAL THERAPY & PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-390-4111",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Midland, GA
• Providers in Midland, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.