Active NPI
Jamie Lafleur Fontenot, P.T.
- Physical Therapist
- Denham Springs, LA
National Provider Identifier
1184960148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04504
- Practice address
- 8128 Florida Blvd
Denham Springs, LA 70726-7865 - Phone
- (225) 791-8666
- NPI assigned
- Dec 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 04504 | LA | Primary |
Addresses
Primary practice location
8128 Florida Blvd
Denham Springs, LA 70726-7865
Mailing address
1187 Huckleberry LN
Ville Platte, LA 70586-1934
Phone (337) 831-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1553999 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04504 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1184960148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1187 HUCKLEBERRY LN",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705861934",
"telephone_number": "337-831-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8128 FLORIDA BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707267865",
"telephone_number": "225-791-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "JAMIE",
"middle_name": "LAFLEUR",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-19",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "04504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1553999",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.