Kaitlyn Fontenot, MSOT, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

323078 Issued in LA

Practice address

1388 Creosote LN
Mamou, LA 70554-4739

Phone

(337) 459-6990

NPI assigned

Aug 14, 2022

Last updated

Aug 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in LA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Menavry LLCGroup PAC ID 6608008297, 6 clinicians

Vital Healthcare Solutions LLCGroup PAC ID 9133598055, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Menavry LLC

  dba Newman Family Clinic

  • Rural Health Clinic/Center
  • Oakdale, LA
  • NPI 1831529585
  Medicare reassignment Care Compare group NPD
• Vital Healthcare Solutions LLC

  dba Magnolia Therapeutics

  • Rural Health Clinic/Center
  • Ville Platte, LA
  • NPI 1598473415
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1881322121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 CREOSOTE LN",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705544739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 CREOSOTE LN",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705544739",
            "telephone_number": "337-459-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "KAITLYN",
        "name_prefix": "Ms.",
        "credential": "MSOT, LOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "323078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangeline Emeregency Group LLC
• FLS LLC (Savoy Care Center)
• Austin Jon Fontenot, BCBA, LBA
• Cynthia B. Fontenot, LMT, CNMT
• John P. Fontenot, M.D.
• Kamilla Fontenot
• Karen M Fontenot, RPH
• Kathleen Fontenot, RPH
• Frank P Savoy Jr Cancer Center
• Global Gasworks Staffing

• Occupational Therapist in Mamou, LA
• Providers in Mamou, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.