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

Mr. Carrol Shane Fortenberry, PT

Individual provider Physical Therapist · NPI 1659609923

Mr. Carrol Shane Fortenberry, PT is a Physical Therapist in Tupelo, Mississippi. Licensed in Mississippi and Tennessee. Registered with an NPI since 2009.

Licensed in
MS, TN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2844 Traceland Ave
Tupelo, MS 38801
Phone: (188) 863-9692
Fax: (662) 680-5097
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT0345 (MS)
Physical Therapist Taxonomy 225100000X · Licence PT0000008246 (TN)

Record details

NPI number1659609923
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 25, 2009
Last updated in NPPESNovember 25, 2009

Other providers in Tupelo