Hayden Brooks Fortenberry, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6670 Issued in MS

Practice address

1301 W Government St Ste 104
Brandon, MS 39042-3196

Phone

(601) 591-7535

Fax

(601) 591-7540

NPI assigned

Feb 19, 2020

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Therapy LLCGroup PAC ID 7012971047, 86 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 and National Provider Directory roles.

• Performance Therapy LLC

  • Physical Therapist
  • Philadelphia, MS
  • NPI 1851427132
  Medicare reassignment Care Compare group NPD
• Peak Therapy LLC

  • Physical Therapist
  • Brandon, MS
  • NPI 1215896600
  Medicare reassignment NPD

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1801429774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MUNICIPAL DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422973",
            "telephone_number": "601-650-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W GOVERNMENT ST STE 104",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423196",
            "telephone_number": "601-591-7535",
            "fax_number": "601-591-7540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2990 Highway 49 S Ste A",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "MS",
            "postal_code": "390739523",
            "country_code": "US",
            "telephone_number": "601-891-8179",
            "fax_number": "601-891-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTENBERRY",
        "first_name": "HAYDEN",
        "middle_name": "BROOKS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-19",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzi Nichols Floyd, PMHNP-BC
• Caitlyn Foggo, DMD
• Jessica Fons, RD
• Kali Benet' Ford, RT(R)
• Bessie R. Fortenberry, LPC, LSW
• Shelby Lynn Fortenberry, DMD
• Joshua A Foster, CRNA
• Karen Geneva Freeman, NP
• Taylor Fry
• Jennifer J Fulcher, LSW, PCMHT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.