Organization Active NPI

Forge the Athlete Physical Therapy

  • Physical Therapy Clinic/Center
  • Katy, TX
National Provider Identifier
1467041194
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FORGE THE ATHLETE PHYSICAL THERAPY
Practice address
1430 Vanderwilt LN Ste F&G
Katy, TX 77449-1823
Phone
(832) 350-6322
NPI assigned
Jan 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Lyanne Colon, DPT
Title
Doctor of Physical Therapy
Phone
(832) 350-6322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1430 Vanderwilt LN Ste F&G
Katy, TX 77449-1823

Mailing address

1430 Vanderwilt LN Ste F&G
Katy, TX 77449-1823
Phone (832) 350-6322

Other names 1

  • Forge The Athlete Former legal business name

National Provider Directory

National Provider Directory

Locations

1430 Vanderwilt Ln
Ste Fg
Katy, TX 77449
Phone (832) 350-6322

NPI Registry JSON

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1467041194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 VANDERWILT LN STE F&G",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491823",
            "telephone_number": "832-350-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 VANDERWILT LN STE F&G",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491823",
            "telephone_number": "832-350-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGE THE ATHLETE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "LYANNE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "832-350-6322",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forge The Athlete",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Forge The Athlete",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.