Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda F Fortenberry, OT

Individual provider Occupational Therapist · NPI 1891028130

Amanda F Fortenberry, OT is an Occupational Therapist in Private Practice in Ridgeland, Mississippi. Qualified in 2009, 17 years ago. Practices with Fox Rehab Agency MS LLC, a 65-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
17
Licensed in
MS
In the registry since
2009
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT2345 (MS)

Record details

NPI number1891028130
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedSeptember 17, 2009
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Fox Rehab Agency Ms Llc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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