Kyle Ryan Fornoff, DPT
NPI 1679910855ActiveIndividual· Physical Therapist· Gothenburg, NE
Physical Therapist (DPT) with Team Physical Therapy PC, practicing in Gothenburg, Nebraska. Medicare paid $48,757 for services to 38 patients in 2024.
Overview
| NPI | 1679910855 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | May 29, 2013 |
| Last updated in NPPES | Sep 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 3212 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 38 |
|---|---|
| Services billed | 2,601 across 7 procedure codes |
| Paid by Medicare | $48,757 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Team Physical Therapy PCBroken Bow, NE · 12 clinicians
Other Physical Therapist providers in Gothenburg
- 1205988979
- 1821526880
- 1093849796
- 1275643108