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

Mitchell Griffin Fornecker, DPT

Individual provider Physical Therapist · NPI 1881229060

Mitchell Griffin Fornecker, DPT is a Physical Therapist in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
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

11030 Raven Ridge Rd Ste 101
Raleigh, NC 27614-8512
Phone: (919) 844-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P19356 (NC)

Record details

NPI number1881229060
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedMarch 8, 2020
Last updated in NPPESMarch 8, 2020
Certification dateMarch 8, 2020

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