Alex D Fontaine, DPT
Individual provider Active NPI Physical Therapist · Belchertown, MA
NPI 1710620646 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1710620646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTL25757 (MA)
- Practice address
- 25 Bridge St
Belchertown, MA 01007-8909 - Phone
- (413) 323-1020
- NPI assigned
- Apr 19, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Orthopaedic Alliance PLLC
Practice addresses (Care Compare)
1 Moody St
Ludlow, MA 01056-1228
Phone (714) 785-4666
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220426000237 | MA | Practitioner - Physical Therapist in Private Practice | 7214324086 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL25757 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Orthopedic Surgeons | Physical Therapist | Current |
Accepting new patients |
| Northeast Orthopaedic Alliance PLLC | Current |
Accepting new patients | |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current |
Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current |
Accepting new patients |
| Northeast Orthopaedic Alliance PLLC | Current |
Accepting new patients | |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| New England Orthopedic Surgeons | Current |
Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
25 Bridge St
Belchertown, MA 01007
Phone (413) 323-1020
265 Benton Dr
Ste 101
East Longmeadow, MA 01028
Phone (714) 785-4666
1 Moody St
Ludlow, MA 01056
Phone (413) 583-2274
300 Birnie Ave
Ste 201
Springfield, MA 01107
Phone (413) 233-1292
150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL25757 | MA | Yes |
Addresses
Primary practice location
25 Bridge St
Belchertown, MA 01007-8909
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other providers in Belchertown, MA
- Bruce A Eggleston
- Elevate Mental Health and Wellness
- Edmond Etti
- Eyecuity
- Marie-Claire A Foley
- Scott Forman
- Foundation ABA
- Christopher J. Fox
- Joanna Gail Frame
- Jason M Franconeri
All providers in Belchertown, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.