Active NPI
Marian S Fontenot
- Physical Therapist
- Ville Platte, LA
National Provider Identifier
1730106741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00451
- Practice address
- 4940 Vidrine Rd
Ville Platte, LA 70586-8780 - Phone
- (337) 506-3510
- Fax
- (337) 506-3511
- NPI assigned
- Jul 16, 2006
- Last updated
- Jan 18, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00451 | LA | Primary |
Addresses
Primary practice location
4940 Vidrine Rd
Ville Platte, LA 70586-8780
Mailing address
4940 Vidrine Rd
Ville Platte, LA 70586-8780
Phone (337) 506-3510
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00451 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fontenot Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Ville Platte, LA
- NPI 1215081831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1730106741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 VIDRINE RD",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705868780",
"telephone_number": "337-506-3510",
"fax_number": "337-506-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 VIDRINE RD",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705868780",
"telephone_number": "337-506-3510",
"fax_number": "337-506-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "MARIAN",
"middle_name": "S",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "PT00451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ville Platte, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.