Individual provider Active NPI

Alex Fontaine, DPT

  • Physical Therapist
  • Fargo, ND
National Provider Identifier
1437867413
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4420 37TH Ave S
Fargo, ND 58104-3400
Phone
(701) 365-4771
NPI assigned
Nov 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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 Primary

Addresses

Primary practice location

4420 37TH Ave S
Fargo, ND 58104-3400

Mailing address

540 Falcon Crest Dr
Spearfish, SD 57783-3252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221130003110 ND Practitioner - Physical Therapist in Private Practice 8325416019 Reassigns benefits to 2 organizations
I20251023002341 MN Practitioner - Physical Therapist in Private Practice 8325416019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aim Therapy PLLCGroup PAC ID 5395159586, 6 clinicians
Caring Edge Op LLCGroup PAC ID 6406114131, 36 clinicians

Practice addresses (Care Compare)

Horace, ND 58047
Phone (701) 371-6709

14890 Beaver Dam Rd
Brainerd, MN 56401-6019
Phone (218) 297-1605

4420 37TH Ave S
Fargo, ND 58104-3400
Phone (701) 365-4771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13238MNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Therapy PLLC Physical Therapist CurrentSince Jun 10, 2023 Accepting new patients
Caring Edge Op LLC Physical Therapist CurrentSince Nov 15, 2022 Accepting new patients

Locations

2965 E Tarpon Dr
Ste 150
Meridian, ID 83642
Phone 2082879420110

14211 Firewood Dr
Baxter, MN 56425
Phone (218) 297-1605

14890 Beaver Dam Rd
Brainerd, MN 56401
Phone (218) 297-1605

2801 39th Ave SE
Mandan, ND 58554
Phone (701) 663-5664

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.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1437867413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FALCON CREST DR",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 37TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581043400",
            "telephone_number": "701-365-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "ALEX",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.