Jennifer Fontaine, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305203217 Issued in VA

Practice address

504 Albemarle SQ
Charlottesville, VA 22901-7405

Phone

(434) 817-7848

Fax

(434) 951-2194

NPI assigned

Apr 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Plus Health, LLCGroup PAC ID 7911094677, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• PT Plus Health, LLC

  • Physical Therapist
  • Crozet, VA
  • NPI 1043400385

  VA

  Medicare reassignment Care Compare group
• Physical Therapy at Acac

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

  • Occupational Therapist
  • Charlottesville, VA
  • NPI 1497474977
  NPD
• Physical Therapy at Acac

  • Physical Therapist
  • Crozet, VA
  • NPI 1417369026
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1497717862",
    "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": "504 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-817-7848",
            "fax_number": "434-951-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "177850",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Kathleen McHugh Foley, MD
• Madison J Foley
• Michael Foley
• Tyler Matthew Foley, MD
• Alina Fomovska, MD
• Blaine Jacob Fontenot, MD
• Jennifer Fontenot, PNP
• Marty William Fontenot, DPT
• Tara Elizabeth Fontenot, PT, DPT, OCS, ATC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC

• All providers in Charlottesville, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.