Shannon Marie Lafountain, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306001077 Issued in VA

Practice address

8830 Virginia St
Amelia Court House, VA 23002-4826

Phone

(804) 561-1617

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1548737117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 OAK GROVE LOOP",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230023543",
            "telephone_number": "804-467-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 VIRGINIA ST",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024826",
            "telephone_number": "804-561-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFOUNTAIN",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306001077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael William Holcomb, PHARMACIST
• Benson W Howard, PT
• Kaitlyn Obrien Jones
• Kasey Cotterman
• James Smith Kilbreath II, DPT
• George William Lefoy Jr., PHARMACIST
• Camilla Faye Lewis
• Ciara Lynne Moore, FNP-BC
• Christa E. Morris, D.D.S.
• Robin Nelson, PTA

• Physical Therapy Assistant in Amelia Court House, VA
• Providers in Amelia Court House, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.