Dallis Glenn Forsythe, DPT in Olive Branch, MS - Medicare Physical Therapist In Private Practice Provider

Dallis Glenn Forsythe, DPT is a medicare enrolled "Physical Therapist" provider in Olive Branch, Mississippi. He graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Drayer Physical Therapy Mississippi Llc, Agilitas Usa, Inc and his current practice location is 5036 Goodman Rd Ste 110, Olive Branch, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 586-2989.

Dallis Glenn Forsythe is licensed to practice in Mississippi (license number PT6663) 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 1760040984.

Contact Information

	Dallis Glenn Forsythe, DPT
	5036 Goodman Rd Ste 110, Olive Branch, MS 38654-7966
	(662) 586-2989
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dallis Glenn Forsythe
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	6 Years
Location	5036 Goodman Rd Ste 110, Olive Branch, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dallis Glenn Forsythe graduated from medical school in 2019

NPI Data:

NPI Number: 1760040984
Provider Enumeration Date: 06/03/2019
Last Update Date: 08/07/2025

Medicare PECOS Information:

PECOS PAC ID: 6800127960
Enrollment ID: I20191004000482

Medical Identifiers

Medical identifiers for Dallis Glenn Forsythe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760040984	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT6663 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Drayer Physical Therapy Mississippi Llc	3274834858	97
Agilitas Usa, Inc	3375454648	710

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. Dallis Glenn Forsythe allows following entities to bill medicare on his behalf.

Provider Name	Dpti Elite Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386010718 PECOS PAC ID: 0547579401 Enrollment ID: O20151016001144

Provider Name	Drayer Physical Therapy Mississippi Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040

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. Dallis Glenn Forsythe 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 Address	Practice Location Address
Dallis Glenn Forsythe, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217	Dallis Glenn Forsythe, DPT 5036 Goodman Rd Ste 110, Olive Branch, MS 38654-7966 Ph: (662) 586-2989

Reviews and Comments

Physical Therapist in Olive Branch, MS

Nicholas Bailey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934
Tina Marie Erber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4780 Medora Dr, Olive Branch, MS 38654 Phone: 662-895-1891
Joshua Mark Day, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934
Tarah L Rudd, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4578 Pleasant Breeze Dr, Olive Branch, MS 38654 Phone: 901-268-9759
Holly Johnson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2268 Ross Rd, Olive Branch, MS 38654 Phone: 662-808-2680 Fax: 662-895-0566
Mrs. Jennifer Dixon Bogan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6760 Goodman Rd, Olive Branch, MS 38654 Phone: 901-759-5566
Blake Jordan Falconello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 662-874-5964 Fax: 662-874-5176

Dallis Glenn Forsythe, DPT - Medicare Physical Therapist in Olive Branch, MS