Fontenelle Physiotherapy, PLLC Dba Caliber Rehab and Performance

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FONTENELLE PHYSIOTHERAPY, PLLC DBA CALIBER REHAB AND PERFORMANCE

Practice address

2104 N Austin Ave # 105
Georgetown, TX 78626-4511

Phone

(512) 761-7307

Fax

(737) 787-2773

NPI assigned

Apr 27, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Glen Fontenelle, PT, DPTNPI 1245823244

Title

Owner

Phone

(512) 761-7307

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glen Fontenelle, PT, DPT

  • Physical Therapist
  • Georgetown, TX
  • NPI 1245823244
  NPD Authorized official

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1972449403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 N AUSTIN AVE # 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264511",
            "telephone_number": "512-761-7307",
            "fax_number": "737-787-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 N AUSTIN AVE # 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264511",
            "telephone_number": "512-761-7307",
            "fax_number": "737-787-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTENELLE PHYSIOTHERAPY, PLLC DBA CALIBER REHAB AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "FONTENELLE",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-761-7307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Alexis Flores Trejo
• Steven Flores, LCSW
• Karla Gabriella Flotte, DC
• FM Care LLC
• Sara Fogg
• Glen Fontenelle, PT, DPT
• Kay Fooshee, R.PH.
• Foot & Ankle Specialists of Arizona PLLC
• Crystal L Force, LPC
• Kerry K Ford, MD

• Physical Therapist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.