Individual provider Active NPI

Deanna Fontenot

  • Occupational Therapy Assistant
  • Lakeway, TX
National Provider Identifier
1457871675
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
1915 Lohmans Crossing Rd
Lakeway, TX 78734-5274
Phone
(737) 707-2779
NPI assigned
Jun 20, 2017
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU Primary

Addresses

Primary practice location

1915 Lohmans Crossing Rd
Lakeway, TX 78734-5274

Mailing address

7915 Jones Branch Dr Apt 115
MC Lean, VA 22102-3227

Other practice location 1

6200 Oregon Ave NW
Washington, DC 20015-1543
Phone (202) 541-0400

Other practice location 2

2849 Livingston Loop
Virginia Beach, VA 23456-7502
Phone (757) 675-1187

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1457871675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 JONES BRANCH DR APT 115",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 LOHMANS CROSSING RD",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345274",
            "telephone_number": "737-707-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Oregon Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200151543",
            "country_code": "US",
            "telephone_number": "202-541-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2849 Livingston Loop",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234567502",
            "country_code": "US",
            "telephone_number": "757-675-1187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "DEANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.