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

Cameron Blake Fortenberry, PTA

Individual provider Physical Therapy Assistant · NPI 1083551808

Cameron Blake Fortenberry, PTA is a Physical Therapy Assistant in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2026.

Licensed in
AR
In the registry since
2026
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

16100 Chenal Valley Dr
Little Rock, AR 72223-4042
Phone: (501) 267-9554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA5036 (AR)

Record details

NPI number1083551808
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

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