IndividualActive
Kimberly Fortney, PTA
NPI 1104544709 · Physical Therapy Assistant · Viroqua, WI
Provider details
- NPI number
- 1104544709
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3279-19 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
403 E Parkinson St Apt 2
Viroqua, WI 54665-1483
Phone: (608) 792-1185
Street-level locationGet directions
Mailing address
403 E Parkinson St Apt 2
Viroqua, WI 54665-1483
Registry dates
- Enumerated
- 2022-08-19
- Last updated
- 2022-08-19
- Certified
- 2022-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.