MR. CARROL SHANE FORTENBERRY P.T.
NPI 1659609923
Physical Therapist in Tupelo, MS

Active since November 25, 2009
2844 TRACELAND AVE., TUPELO, MS 38801(188) 863-9692(662) 680-5097 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Carrol Shane Fortenberry P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CARROL SHANE FORTENBERRY P.T. (NPI 1659609923) is an individual physical therapist in Tupelo, Mississippi, licensed in Mississippi (PT0345) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1659609923
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. CARROL SHANE FORTENBERRYCredential: P.T.
Location Address2844 TRACELAND AVE.Tupelo, MS 38801
Mailing Address2844 Traceland DrTupelo, MS 38801-4200 · (188) 863-9692
Fax(662) 680-5097
Sole ProprietorNo
Enumeration DateNovember 25, 2009
NPI 1659609923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in MS · PT0345 Licensed in TN · PT0000008246
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2844 TRACELAND AVE., Tupelo, MS 38801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carrol Fortenberry's NPI number?

The NPI number for Carrol Fortenberry is 1659609923. It was assigned to this individual provider in the NPPES registry on November 25, 2009.

Where is Carrol Fortenberry located?

Carrol Fortenberry practices at 2844 Traceland Ave., Tupelo, MS 38801. The listed phone number is (188) 863-9692.

What is Carrol Fortenberry's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Carrol Fortenberry was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.