Active NPI
Alex Fontaine, DPT
- Physical Therapist
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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 | 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, MN
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13238 | MN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aim Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Caring Edge Op LLC | Physical Therapist | Current | 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.