Tara Elizabeth Fontenot, PT, DPT, OCS, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305207356 Issued in VA

Practice address

2114 Angus Rd
Suite 107
Charlottesville, VA 22901-2768

Phone

(434) 295-4473

Fax

(434) 985-3227

NPI assigned

Apr 24, 2012

Last updated

May 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Physical Therapy at Acac

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1205809506
  Medicare reassignment NPD
• Physical Therapy at Acac

  • Occupational Therapist
  • Charlottesville, VA
  • NPI 1497474977
  NPD
• Phoenix Rehabilitation and Health Services of Virginia, LLC

  • Physical Therapist
  • Cranberry Township, PA
  • NPI 1336155845
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1285992693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-817-7848",
            "fax_number": "434-465-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 ANGUS RD",
            "address_2": "SUITE 107",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012768",
            "telephone_number": "434-295-4473",
            "fax_number": "434-985-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "TARA",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Fontaine, PT
• Alden Fontana, ATC, LAT
• Blaine Jacob Fontenot, MD
• Jennifer Fontenot, PNP
• Marty William Fontenot, DPT
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Edwina T Forch, NP
• Emily Forch
• Beverly L Ford, NP

• Physical Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.