Active NPI
Ryan Lafountaine
- Physical Therapist
- Eagle River, AK
National Provider Identifier
1518120492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 346
- Practice address
- 12836 Old Glenn Hwy Ste 101
Eagle River, AK 99577-7560 - Phone
- (907) 694-8085
- NPI assigned
- Jul 9, 2008
- Sex
- Male
- 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 | 346 | AK | Primary |
Addresses
Primary practice location
12836 Old Glenn Hwy Ste 101
Eagle River, AK 99577-7560
Mailing address
12836 Old Glenn Hwy Ste 101
Eagle River, AK 99577-7560
Phone (907) 694-8085
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346 | AK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Radiology Associates PLLC | Past | Accepting new patients | |
| Dakota Rehabilitation Center, Inc. | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Sioux Falls, SD
- NPI 1386727154
-
- Diagnostic Radiology Physician
- New City, NY
- NPI 1174574115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1518120492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12836 OLD GLENN HWY STE 101",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777560",
"telephone_number": "907-694-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12836 OLD GLENN HWY STE 101",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777560",
"telephone_number": "907-694-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFOUNTAINE",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-09",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.