Active NPI
Gabrielle Renee Lafontaine, PT
- Physical Therapist
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11495
- Practice address
- 3129 Perkins Rd
Baton Rouge, LA 70808-2254 - Phone
- (225) 246-2076
- Fax
- (225) 246-2998
- NPI assigned
- May 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 11495 | LA | Primary |
Addresses
Primary practice location
3129 Perkins Rd
Baton Rouge, LA 70808-2254
Mailing address
4324 S Sherwood Forest Blvd Ste B170
Baton Rouge, LA 70816-4481
Phone (225) 654-8208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230714002471 | LA | Practitioner - Physical Therapist in Private Practice | 2264892728 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moreau Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 | Physical Therapist | Current | Accepting new patients |
Locations
11424 Sullivan Rd
#A-C
Baton Rouge, LA 70818
Phone (225) 261-7021
3129 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-2076
4324 S Sherwood Frst
Ste B170
Baton Rouge, LA 70816
1326 Church St
Zachary, LA 70791
Phone 2256548208 ext. 1160
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.
-
- Physical Therapist
- Baton Rouge, LA
- NPI 1770568669
LA, Physical Therapist
-
- Physical Therapist
- Beaumont, TX
- NPI 1831962018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1508559550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4324 S SHERWOOD FOREST BLVD STE B170",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164481",
"telephone_number": "225-654-8208",
"fax_number": "225-465-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 PERKINS RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708082254",
"telephone_number": "225-246-2076",
"fax_number": "225-246-2998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFONTAINE",
"first_name": "GABRIELLE",
"middle_name": "RENEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "11495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.