Provider Demographics
NPI:1851281604
Name:FORGED PRECISION PHYSICAL THERAPY
Entity type:Organization
Organization Name:FORGED PRECISION PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:BRENDEN
Authorized Official - Last Name:ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:512-954-1476
Mailing Address - Street 1:599 UNIVERSITY BLVD APT 517
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1085
Mailing Address - Country:US
Mailing Address - Phone:512-954-1476
Mailing Address - Fax:737-252-3455
Practice Address - Street 1:3008 DAWN DR STE 205
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2822
Practice Address - Country:US
Practice Address - Phone:512-954-1476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy