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

Mr. John W Fornabaio Jr., PT

Individual provider Physical Therapist · NPI 1649390907

Mr. John W Fornabaio Jr., PT is a Physical Therapist in Private Practice in Cookeville, Tennessee. Qualified in 1996, 30 years ago. Practices with Results-Ast Jv LLC, a 390-clinician group and accepts Medicare assignment. Licensed in New York and Tennessee.

Years since qualifying
30
Licensed in
NY, TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

851 S Willow Ave Ste 110
Cookeville, TN 38501-4221
Phone: (931) 528-0042
Fax: (931) 528-0049
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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 10111 (TN)
Physical Therapist Taxonomy 225100000X · Licence 017936 (NY)

Record details

NPI number1649390907
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESOctober 4, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Results-Ast Jv Llc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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