Doctor profile · Federal record
Dr. Dallis Forsythe, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Olive Branch, MS
- NPI 1760040984
- Accepts Medicare
- MIPS 77.8 / 100 · 2023
- 7 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5036 Goodman RD Ste 110
Olive Branch, MS 386547966
(662) 586-2989 - Additional location
-
204 Enterprise Dr
Oxford, MS 386552761
(662) 234-0010
fax (662) 234-0017 - Mailing address
-
1200 Corporate Dr Ste 400
Hoover, AL 352425424
Credentials & registration
- NPI registered
- June 2019 — 7 yrs on file
- Profile last updated
- August 7, 2025
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Mississippi #PT6663
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1760040984. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,411
Distinct HCPCS
7
Medicare allowed
$58,163
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,020 | 89 | $20 | |
97530 |
Therapy procedure using functional activities | 626 | 71 | $29 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 578 | 71 | $24 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 102 | 34 | $19 | |
G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 45 | 13 | $9 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 23 | 22 | $79 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 17 | 17 | $79 |
In context: peer comparison
Among 10 peers in this city , average services per provider: 454. This provider delivers 5.3× the peer median.Frequently asked questions
What is Dr. Dallis Forsythe's medical specialty?
Dr. Dallis Forsythe practices Physical Therapist in Olive Branch, MS.
Where does Dr. Dallis Forsythe practice?
Dr. Dallis Forsythe practices at 5036 Goodman RD Ste 110, Olive Branch, MS 386547966. Office phone: 6625862989.
What is Dr. Dallis Forsythe's NPI?
Dr. Dallis Forsythe's National Provider Identifier (NPI) is 1760040984, issued by NPPES.
Does Dr. Dallis Forsythe accept Medicare assignment?
Yes. Dr. Dallis Forsythe accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dallis Forsythe commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using functional activities (HCPCS 97530); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112). Source: CMS Medicare Physician & Other Practitioners file.