Organization Active NPI

Forged Physical Therapy LLC

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1770244485
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FORGED PHYSICAL THERAPY LLC
Practice address
4350 Saint Andrews Rd
Columbia, SC 29210-4169
Phone
(803) 730-7983
NPI assigned
Jan 5, 2022
Last updated
Jan 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Dr. Seth Taylor Morris, PT, DPTNPI 1609544170
Title
Owner/Organizer
Phone
(803) 730-7983

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

4350 Saint Andrews Rd
Columbia, SC 29210-4169

Mailing address

1429 Lewie Rd
Gilbert, SC 29054-9237
Phone (803) 730-7983

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220422000191 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385031335 Receives reassigned benefits from 5 practitioners
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

1150 Bower Pkwy
Ste F8
Columbia, SC 29212
Phone (803) 633-9673

4350 Saint Andrews Rd
Columbia, SC 29210
Phone (803) 730-7983

4350 Saint Andrews Rd
Ste H
Columbia, SC 29210
Phone (803) 633-9673

Practitioners & affiliated clinicians

Practitioners 6

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": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1770244485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 LEWIE RD",
            "city": "GILBERT",
            "state": "SC",
            "postal_code": "290549237",
            "telephone_number": "803-730-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 SAINT ANDREWS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104169",
            "telephone_number": "803-730-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGED PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER/ORGANIZER",
        "authorized_official_telephone_number": "803-730-7983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.