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

Kyle Ryan Fornoff, DPT

Individual provider Physical Therapist · NPI 1679910855

Kyle Ryan Fornoff, DPT is a Physical Therapist in Private Practice in Gothenburg, Nebraska. Qualified in 2013, 13 years ago. Practices with Team Physical Therapy PC, an 11-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
13
Licensed in
NE
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

523 10th St
Gothenburg, NE 69138-1925
Phone: (308) 537-3600
Fax: (308) 537-3601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3212 (NE)

Record details

NPI number1679910855
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 29, 2013
Last updated in NPPESApril 21, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Team Physical Therapy Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gothenburg