Forged Physical Therapy and Performance

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

FORGED PHYSICAL THERAPY AND PERFORMANCE

Practice address

5160 Richton St Ste D
Montclair, CA 91763-1315

Phone

(909) 367-1257

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Zach Leal, PT, DPT, CSCS

Title

Owner

Phone

(909) 341-1050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1699482703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 RICHTON ST STE D",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 RICHTON ST STE D",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631315",
            "telephone_number": "909-367-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGED PHYSICAL THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-341-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Antonio Flores
• Noemi Flores
• Jan Latrice Fluker
• Christian Jon Fong
• Julio Cesar Fonseca
• Stacie Forrest
• Desirae Monique Fortunat
• Jalen Daniel Fraga
• Kassy Francis
• Marvin A Francis, D.C.

• Rehabilitation Clinic/Center in Montclair, CA
• Providers in Montclair, CA by specialty
• Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.