Kyle Ryan Fornoff, DPT - Medicare Physical Therapist in Gothenburg, NE

Kyle Ryan Fornoff, DPT is a medicare enrolled "Physical Therapist" provider in Gothenburg, Nebraska. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Team Physical Therapy Pc and his current practice location is 523 10th St, Gothenburg, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 537-3600.

Kyle Ryan Fornoff is licensed to practice in Nebraska (license number 3212) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679910855.

Contact Information

Kyle Ryan Fornoff, DPT
523 10th St,
Gothenburg, NE 69138-1925
(308) 537-3600
(308) 537-3601

Map and Direction




Healthcare Provider's Profile

Full NameKyle Ryan Fornoff
GenderMale
SpecialityPhysical Therapy
Experience11 Years
Location523 10th St, Gothenburg, Nebraska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kyle Ryan Fornoff graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1679910855
  • Provider Enumeration Date: 05/29/2013
  • Last Update Date: 04/21/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8729221023
  • Enrollment ID: I20130906000160

Medical Identifiers

Medical identifiers for Kyle Ryan Fornoff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679910855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 3212 (Nebraska)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Team Physical Therapy Pc599175954012

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyle Ryan Fornoff allows following entities to bill medicare on his behalf.
Provider NameTeam Physical Therapy Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1578595625
PECOS PAC ID: 5991759540
Enrollment ID: O20050308000374

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Ryan Fornoff is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kyle Ryan Fornoff, DPT
325 S 1st Ave, P.o. Box 435,
Broken Bow, NE 68822-2213

Ph: (308) 872-5111
Kyle Ryan Fornoff, DPT
523 10th St,
Gothenburg, NE 69138-1925

Ph: (308) 537-3600

Reviews and Comments


Physical Therapist in Gothenburg, NE

Mr. Craig Allen Johnson, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 910 20th St, Gothenburg, NE 69138
Phone: 308-537-4023    
Kandace Davis, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1307 Lake Ave, Gothenburg, NE 69138
Phone: 308-325-9140    
Ms. Amanda Lathrop, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 910 20th St, Gothenburg, NE 69138
Phone: 308-537-6631    
Landen Haake,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 910 20th St, Gothenburg, NE 69138
Phone: 308-529-1609    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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