Provider Demographics
NPI:1144112582
Name:FORGE PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:FORGE PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:717-420-0594
Mailing Address - Street 1:550 GATES AVE APT 2L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-1219
Mailing Address - Country:US
Mailing Address - Phone:717-420-0594
Mailing Address - Fax:
Practice Address - Street 1:550 GATES AVE APT 2L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-1219
Practice Address - Country:US
Practice Address - Phone:717-420-0594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty