Active NPI
Alyssa R Fontent, O.T.
- Occupational Therapist
- Shreveport, LA
National Provider Identifier
1699859991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- Z12079
- Practice address
- 1501 Kings Hwy
Lsuhsc Rehab Faculty Clinic
Shreveport, LA 71103-4228 - Phone
- (318) 675-5000
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Z12079 | LA | Primary |
Addresses
Primary practice location
1501 Kings Hwy
Lsuhsc Rehab Faculty Clinic
Shreveport, LA 71103-4228
Mailing address
1501 Kings Hwy
Lsuhsc Rehab Faculty Clinic
Shreveport, LA 71103-4228
Phone (318) 675-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174173 | Medicaid | LA | |
| 1144265976 | Other | LA | GROUP NPI NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Z12079 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1699859991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"address_2": "LSUHSC REHAB FACULTY CLINIC",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-675-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"address_2": "LSUHSC REHAB FACULTY CLINIC",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-675-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENT",
"first_name": "ALYSSA",
"middle_name": "R",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "Z12079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174173",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1144265976",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
- Cody Fontenot, PHARM.D.
- Holly Fontenot
- Jamie Lynn Fontenot
- Lane Fontenot
- Patrick Fontenot
- Foot & Ankle Specialty Clinic Inc.
- Foot Specialists of Shreveport (Foot Specialists of Shreveport Bossier)
- Foot Specialists of Shreveport Apmc
- Foot Steps ABA LLC
- For You We Will Transportation LLC (For You We Will Transportation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.