Dr Brad Fortinberry, DPT | |
709 Robb Street, Summit, MS 39666 | |
(601) 248-8019 | |
Not Available |
Full Name | Dr Brad Fortinberry |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 27 Years |
Location | 709 Robb Street, Summit, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356891667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT2344 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fortinberry Physical Therapy Llc | 4981987658 | 5 |
Provider Name | Fortinberry Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1891246286 PECOS PAC ID: 4981987658 Enrollment ID: O20170203002227 |
Mailing Address | Practice Location Address |
---|---|
Dr Brad Fortinberry, DPT Po Box 1358, Summit, MS 39666-1301 Ph: (601) 276-2200 | Dr Brad Fortinberry, DPT 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 |