Brad Fortinberry, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2344 Issued in MS

Practice address

709 Robb Street
Summit, MS 39666

Phone

(601) 248-8019

NPI assigned

Oct 11, 2016

Last updated

Dec 15, 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 MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Mississippi School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fortinberry Physical Therapy LLCGroup PAC ID 4981987658, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.89 of 100Reported as group

Quality

85.26

Improvement activities

40

Cost

69.28

Medicare enrollment (NPD)

Enrolled

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.

• Fortinberry Physical Therapy LLC

  dba Fortinberry Physical Therapy

  • Physical Therapist
  • Summit, MS
  • NPI 1891246286
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1356891667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1358",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396661301",
            "telephone_number": "601-276-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 ROBB STREET",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "39666",
            "telephone_number": "601-248-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTINBERRY",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-11",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT2344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Faulkner
• Amanda Fischer
• Jamie Ford
• Fortinberry Physical Therapy LLC (Fortinberry Physical Therapy)
• Austin H Fortinberry, DPT
• Melissa Fortinberry, PT
• Danny Francis Jr.
• Johnathan G Freeman, DPT
• Frontline Recovery, LLC (Jolimar Recovery Center)
• Elizabeth Fuller

• Physical Therapist in Summit, MS
• Providers in Summit, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.