Kelly H. Martin, DPT,ATC
NPI 1164782041ActiveIndividual· Physical Therapist· McComb, MS
Physical Therapist (DPT,ATC) with Fortinberry Physical Therapy LLC, practicing in McComb, Mississippi. Medicare paid $1,259 for services to 12 patients in 2024.
Overview
| NPI | 1164782041 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT,ATC |
| Sole proprietor | No |
| NPI issued | May 24, 2012 |
| Last updated in NPPES | Jul 21, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5264 | MS |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | AT0461 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 58 across 6 procedure codes |
| Paid by Medicare | $1,259 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Fortinberry Physical Therapy LLCTylertown, MS · 7 clinicians
Other physical therapists in McComb
- 1023557576
- 1093011595
- 1265563423
- 1306044565
- 1528797131
- 1801192307
- 1881475911
- 1962477943
- 1336318443
- 1811990732
- 1932681244
- 1740071141
All 38 physical therapists in McComb · All physical therapists in Mississippi