Austin H Fortinberry, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT8063 Issued in MS

Practice address

709 Robb St
Summit, MS 39666-8241

Phone

(601) 276-2200

Fax

(601) 276-3300

NPI assigned

Aug 11, 2025

Last updated

Aug 11, 2025By 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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2025

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)

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

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1568348191",
    "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",
            "fax_number": "601-276-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 ROBB ST",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396668241",
            "telephone_number": "601-276-2200",
            "fax_number": "601-276-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTINBERRY",
        "first_name": "AUSTIN",
        "middle_name": "H",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT8063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.