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DALLIS GLENN FORSYTHE DPT
NPI 1760040984
Physical Therapist in Olive Branch, MS

Active since June 03, 2019Accepts Medicare Assignment
77.79/100
CMS Quality Rating
5036 GOODMAN RD STE 110, OLIVE BRANCH, MS 38654(662) 586-2989 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2025, Jun 3, 2019 (2 updates tracked since 2019).

About Dallis Glenn Forsythe Dpt NPPES

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

DALLIS GLENN FORSYTHE DPT (NPI 1760040984) is an individual physical therapist in Olive Branch, Mississippi, licensed in Mississippi (PT6663) and active in the NPI registry since June 2019. He maintains a secondary practice location in Oxford and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760040984
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDALLIS GLENN FORSYTHECredential: DPT
Location Address5036 GOODMAN RD STE 110Olive Branch, MS 38654-7966
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424 · (423) 238-7217
Phone(662) 586-2989
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 3, 2019
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1760040984 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
License✔ Licensed in MS · PT6663
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.
5036 GOODMAN RD STE 110, Olive Branch, MS 38654
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Secondary Practice Location 1

Location 1204 Enterprise DrOxford, MS 38655-2761 · Phone (662) 234-0010 · Fax (662) 234-0017

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dallis Glenn Forsythe Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800127960
PECOS Enrollment IDI20191004000482

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,147 services101 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
1,096 services88 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
913 services68 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
175 services57 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
91 services19 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
48 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.88
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AUSTIN WEBBER STEWARD PT
Physical Therapist
5036 GOODMAN RD STE 110
OLIVE BRANCH, MS 38654
Desoto County (662) 586-2989
RONNI MILLER DEATON PT
Physical Therapist
5036 GOODMAN RD STE 110
OLIVE BRANCH, MS 38654
Desoto County (662) 586-2989

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 Dallis Forsythe's NPI number?

The NPI number for Dallis Forsythe is 1760040984. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Dallis Forsythe located?

Dallis Forsythe practices at 5036 Goodman Rd Ste 110, Olive Branch, MS 38654. The listed phone number is (662) 586-2989.

What is Dallis Forsythe's specialty?

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

Is Dallis Forsythe enrolled in Medicare?

Yes. Dallis Forsythe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dallis Forsythe accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Dallis Forsythe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dallis Forsythe was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.