Young-Jae Fontaine

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

297827 Issued in CA

Practice address

2217 Sunset Blvd Ste 711
Rocklin, CA 95765-4783

Phone

(646) 491-9015

NPI assigned

Jan 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Precision Physical Therapy & Fitness

  • Physical Therapy Clinic/Center
  • Santa Cruz, CA
  • NPI 1841437449

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1902370471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 SUNSET BLVD STE 711",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 SUNSET BLVD STE 711",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654783",
            "telephone_number": "646-491-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "YOUNG-JAE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043809",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Flammang Wong, DC
• Cynthia Fleming, M.D.
• Camille Fletchall, PA-C
• Teresa Ann Floratos, MFT
• Carlyle Flores
• Harleighcia Ford Person
• Robert Earl Ford, RADT-I R1225120316
• Forever MD
• Zebion Forrest
• Rachel Anne Fox-Tierney, LM, CPM

• Physical Therapist in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.