Active NPI
Eric Keith Fontenot, PT
- Physical Therapist
- Port Barre, LA
National Provider Identifier
1255587994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06633
- Practice address
- 16309 Highway 190
Port Barre, LA 70577 - Phone
- (337) 585-3780
- Fax
- (337) 585-3782
- NPI assigned
- Aug 13, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 06633 | LA | Primary |
Addresses
Primary practice location
16309 Highway 190
Port Barre, LA 70577
Mailing address
2335 Church St
Zachary, LA 70791-2700
Phone (225) 654-8208
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 |
|---|---|---|---|
| 06633 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Mack Abraham, LLC | Past | Accepting new patients | |
| Bravo Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Lafayette, LA
- NPI 1548314495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1255587994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 CHURCH ST",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707912700",
"telephone_number": "225-654-8208",
"fax_number": "225-654-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16309 HIGHWAY 190",
"city": "PORT BARRE",
"state": "LA",
"postal_code": "70577",
"telephone_number": "337-585-3780",
"fax_number": "337-585-3782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "ERIC",
"middle_name": "KEITH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "06633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Barre, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.