Organization Active NPI

Forge Physical Therapy Professional Corporation

  • Physical Therapist
  • Corte Madera, CA
National Provider Identifier
1730973900
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FORGE PHYSICAL THERAPY PROFESSIONAL CORPORATION
Practice address
500 Tamal PLZ Ste 524
Corte Madera, CA 94925-1187
Phone
(646) 266-7528
NPI assigned
Apr 4, 2025
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Mingxi Li, DPTNPI 1144896770
Title
Ceo
Phone
(646) 266-7528

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

500 Tamal PLZ Ste 524
Corte Madera, CA 94925-1187

Mailing address

1455 Filbert St Apt 302
San Francisco, CA 94109-1661
Phone (646) 266-7528

National Provider Directory

National Provider Directory

Locations

500 Tamal Plz
Ste 524
Corte Madera, CA 94925
Phone (646) 266-7528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1730973900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 FILBERT ST APT 302",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941091661",
            "telephone_number": "646-266-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TAMAL PLZ STE 524",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251187",
            "telephone_number": "646-266-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGE PHYSICAL THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "MINGXI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-266-7528",
        "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 Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.