Bryce Fortner, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.018169 Issued in IL

Practice address

101 E 9TH St
Pana, IL 62557-1716

Phone

(217) 562-6238

NPI assigned

Jun 12, 2012

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pana Community Hospital AssociationGroup PAC ID 3274437348, 55 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pana Community Hospital Association

  • Critical Access Hospital
  • Pana, IL
  • NPI 1942326970
  Medicare reassignment Care Compare group NPD
• Pana Community Hospital Association

  dba Ramsey Medical Group

  • Rural Health Clinic/Center
  • Ramsey, IL
  • NPI 1598597726
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1326300609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571716",
            "telephone_number": "217-562-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571716",
            "telephone_number": "217-562-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "BRYCE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2021-07-08",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.018169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endris Pharmacy Inc
• Melissa Dawn Eversole
• Ernesto Norona Fabi, MD
• Mark Ferrell, RT(R)
• Randall Dean Floyd, DMD
• Jamie Gillett, RD
• Michelle Dianne Goodrich, RPH
• Jason Grotts
• Ethan Harbert, DC
• Tara Herbord, LCPC

• Physical Therapist in Pana, IL
• Providers in Pana, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.