Individual provider · Type 1 NPI

Cameron Blake Fortenberry, PTA

Physical Therapy Assistant · Little Rock, AR

NPI number 1083551808 Active

Practice location

16100 Chenal Valley Dr
Little Rock, AR 72223-4042

Mailing address

701 Rahling Rd Apt 1402
Little Rock, AR 72223-5292

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA5036 (AR)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1083551808

Cameron Blake Fortenberry, PTA's National Provider Identifier is 1083551808, issued on Apr 30, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Little Rock, AR. The record was last updated on Apr 30, 2026.