Healthcare Provider Details

I. General information

NPI: 1396656211
Provider Name (Legal Business Name): FORGE PHYSICAL THERAPY & PERFORMANCE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3085 BAY RD STE 1B
SAGINAW MI
48603-2431
US

IV. Provider business mailing address

490 W WILDER RD
AUBURN MI
48611-9702
US

V. Phone/Fax

Practice location:
  • Phone: 989-318-4159
  • Fax:
Mailing address:
  • Phone: 989-329-4710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JESSIKA GEHRKE
Title or Position: OWNER
Credential: DPT
Phone: 989-318-4159