NPI 1083551808

Cameron Blake Fortenberry, PTA

Practitioner Physical Therapy Assistant Little Rock, AR

Practice location

Address: 16100 Chenal Valley Dr, Little Rock, AR 72223-4042
Phone: (501) 267-9554
Mailing address: 701 Rahling Rd APT 1402, Little Rock, AR 72223-5292

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA5036 (AR)

Other Physical Therapy Assistant providers in Arkansas →

Registry record

NPI: 1083551808
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2026
Record last updated: 30 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.