Debbie Fontenot Physical Therapy and Wellness Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0192 Issued in LA

Legal business name

DEBBIE FONTENOT PHYSICAL THERAPY AND WELLNESS INC

Practice address

134 Jomela Dr
Lafayette, LA 70503-2512

Phone

(337) 233-3333

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Debra G Fontenot

Title

Owner/PT

Phone

(337) 233-3333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1457508137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52424",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052424",
            "telephone_number": "337-233-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 JOMELA DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032512",
            "telephone_number": "337-233-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE FONTENOT PHYSICAL THERAPY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "337-233-3333"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "0192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.