Individual provider Active NPI

Elizabeth Ashley Fontenot Hornsby, MPT

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1255514402
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07331 Issued in LA
Practice address
2000 Southwood Dr
Suite B
Lake Charles, LA 70605
Phone
(337) 722-2997
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 07331 LA Primary

Addresses

Primary practice location

2000 Southwood Dr
Suite B
Lake Charles, LA 70605

Mailing address

PO Box 4015
Lake Charles, LA 70606-4015
Phone (337) 722-2997

Other practice location 1

4150 Nelson Rd
Suite C12
Lake Charles, LA 70605-4148
Phone (337) 990-5621

Other practice location 2

345 Albert Rd
Oberlin, LA 70655-4228
Phone (337) 207-0917

Other names 1

  • Miss E. Ashley Fontenot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080306000227 LA Practitioner - Physical Therapist in Private Practice 3274618848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Southwood Dr
Apt B
Lake Charles, LA 70605-4182
Phone (337) 722-2997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07331LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Hornsby Physical Therapy LLC Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
Therapy Center of Jefferson Davis Parish, Inc Physical Therapist PastSince Mar 4, 2002 Accepting new patients
Lemoine Therapy Services of Cenla Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1255514402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4015",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706064015",
            "telephone_number": "337-722-2997",
            "fax_number": "337-270-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SOUTHWOOD DR",
            "address_2": "SUITE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-722-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Nelson Rd",
            "address_2": "Suite C12",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706054148",
            "country_code": "US",
            "telephone_number": "337-990-5621",
            "fax_number": "337-990-5623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Albert Rd",
            "address_purpose": "LOCATION",
            "city": "Oberlin",
            "state": "LA",
            "postal_code": "706554228",
            "country_code": "US",
            "telephone_number": "337-207-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTENOT HORNSBY",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E.",
            "last_name": "FONTENOT",
            "middle_name": "ASHLEY",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.