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

Dallis Glenn Forsythe, DPT

Individual provider Physical Therapist · NPI 1760040984

Dallis Glenn Forsythe, DPT is a Physical Therapist in Private Practice in Olive Branch, Mississippi. Qualified in 2019, 7 years ago. Practices with Drayer Physical Therapy Mississippi LLC, a 111-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5036 Goodman Rd Ste 110
Olive Branch, MS 38654-7966
Phone: (662) 586-2989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 204 Enterprise Dr, Oxford, MS 38655-2761 — (662) 234-0010

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT6663 (MS)

Record details

NPI number1760040984
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 3, 2019
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Drayer Physical Therapy Mississippi Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Olive Branch