Active NPI
Shana Fonte, PT
- Pediatric Physical Therapist
- Lakewood, CO
National Provider Identifier
1689900680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 3776
- Practice address
- 14535 W Dartmouth Dr
Lakewood, CO 80228-5494 - Phone
- (303) 985-3383
- NPI assigned
- Oct 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 3776 | CO | Primary |
Addresses
Primary practice location
14535 W Dartmouth Dr
Lakewood, CO 80228-5494
Mailing address
14535 W Dartmouth Dr
Lakewood, CO 80228-5494
Phone (303) 985-3383
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": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1689900680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14535 W DARTMOUTH DR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802285494",
"telephone_number": "303-985-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14535 W DARTMOUTH DR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802285494",
"telephone_number": "303-985-3383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTE",
"first_name": "SHANA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-26",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CO",
"license": "3776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.