Fortinberry Physical Therapy LLC
NPI 1891246286ActiveOrganization· Physical Therapist· Summit, MS
Physical Therapist in Summit, Mississippi, registered in NPPES in October 2016. The authorized official on file is Brad Fortinberry, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1891246286 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2016 |
| Last updated in NPPES | Dec 15, 2021 |
| Certified by provider | Dec 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT2344 | MS |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MS) |
|---|
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