| Fortinberry Physical Therapy Llc | |
|
709 Robb Street, Summit, MS 39666 | |
| (601) 248-8019 | |
| Not Available |
| Full Name | Fortinberry Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 709 Robb Street, Summit, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891246286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2344 (Mississippi) | Primary |
| Provider Name | Kelly H Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164782041 PECOS PAC ID: 3678717436 Enrollment ID: I20130917000329 |
| Provider Name | Bradley Fortinberry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356891667 PECOS PAC ID: 6305129073 Enrollment ID: I20170203002545 |
| Provider Name | Melissa Fortinberry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619427937 PECOS PAC ID: 0345523932 Enrollment ID: I20170206000513 |
| Provider Name | Michael Ray Dunaway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790285153 PECOS PAC ID: 0547522898 Enrollment ID: I20180326001178 |
| Provider Name | Emily Troxler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023557576 PECOS PAC ID: 3870991912 Enrollment ID: I20211005000378 |
| Provider Name | Joshua C Hutson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952037582 PECOS PAC ID: 6709260938 Enrollment ID: I20220907000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Fortinberry Physical Therapy Llc Po Box 1358, Summit, MS 39666-1301 Ph: (601) 276-2200 | Fortinberry Physical Therapy Llc 709 Robb Street, Summit, MS 39666 Ph: (601) 248-8019 |
Tyrea Dulaney, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 | |
Johnathan G Freeman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 | |
Jonalyn Clark, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 | |
Garrett Wallace, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3909 | |
Kellye Reeves, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 | |
Rebecca Newman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 | |
Dr. Brad Fortinberry, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 709 Robb Street, Summit, MS 39666 Phone: 601-248-8019 |