Lexi Anne Fortin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2651-19 Issued in WI

Practice address

825 Whiting Ave
Stevens Point, WI 54481-5246

Phone

(715) 346-1374

NPI assigned

Jun 22, 2017

Sex

Female

Sole proprietor

No

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1700306487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 COMMONS CIR APT 1",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544674225",
            "telephone_number": "231-631-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WHITING AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815246",
            "telephone_number": "715-346-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIN",
        "first_name": "LEXI",
        "middle_name": "ANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2651-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Lynn Fons, DENTAL HYGIENIST
• Ford Chiropractic Clinic, S.C.
• James T Ford III, D.C.
• Forefront Dermatology, S.C.
• Cynthia Knoll Forster, M.S., CCC-SLP
• Sarah Foss, LPC, CSAC
• Susan Fraasch
• Orlando M Francisco, MD
• Shana Alexis Francois, D.D.S
• Joelle Frank

• Physical Therapy Assistant in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.