Individual provider Active NPI

Ericka Fontenot Soileau, PT, DPT

  • Physical Therapist
  • Covington, LA
National Provider Identifier
1699954040
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09195R Issued in LA
Practice address
71121 Highway 21 Apt D
Covington, LA 70433-7176
Phone
(985) 898-3979
Fax
(985) 898-3981
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 09195R LA Primary

Addresses

Primary practice location

71121 Highway 21 Apt D
Covington, LA 70433-7176

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

200 N Military Rd
Slidell, LA 70461-1624
Phone (985) 641-2996

Other names 1

  • Ericka Lane Fontenot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191219002387 LA Practitioner - Physical Therapist in Private Practice 8022442367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bennett Physical Therapy LLCGroup PAC ID 0547690125, 5 clinicians

Practice addresses (Care Compare)

64167
41 Suite a
Pearl River, LA 70452-3601
Phone (985) 250-9727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bennett Physical Therapy, LLC CurrentSince Jul 26, 2024 Accepting new patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Dec 9, 2019 Accepting new patients
Physiofit Louisiana LLC Physical Therapist CurrentSince Aug 4, 2020 Accepting new patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Dec 9, 2019 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

71121 Highway 21
Ste D
Covington, LA 70433
Phone (985) 898-3979

64167 Highway 41
Ste A
Pearl River, LA 70452
Phone (985) 250-9727

120 White Rose Dr
Raceland, LA 70394
Phone (985) 532-9662

200 N Military Rd
Slidell, LA 70461
Phone (985) 590-5029

2965 Gause Blvd E
Slidell, LA 70461
Phone (985) 231-6475

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1699954040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71121 HIGHWAY 21 APT D",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337176",
            "telephone_number": "985-898-3979",
            "fax_number": "985-898-3981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Military Rd",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704611624",
            "country_code": "US",
            "telephone_number": "985-641-2996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOILEAU",
        "first_name": "ERICKA",
        "middle_name": "FONTENOT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09195R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICKA",
            "last_name": "FONTENOT",
            "middle_name": "LANE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.