Jordan T Fontenot (NPI# 1235597246, PAC ID# 0345547006) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1235597246 |
| PAC ID by PECOS | 0345547006 |
| Professional Enrollment ID | I20180828000443 |
| Full Name | Jordan T Fontenot |
| Organization Legal Name | BOULET REHABILITATION SERVICES INC |
| Address |
119 Representative Row Lafayette LA 70598-3833 |
| Phone Number | 3372649856 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3072529080 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 119 Representative Row, Lafayette, LA 70598-3833 | 3372649856 | BOULET REHABILITATION SERVICES INC |
| Organization Legal Name | BOULET REHABILITATION SERVICES INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelby L Labbe | Physical Therapy | Boulet Rehabilitation Services Inc | 119 Representative Row, Lafayette, LA 70598-3833 |
| Patricia A Boulet | Physical Therapy | Boulet Rehabilitation Services Inc | 119 Representative Row, Lafayette, LA 70598-3833 |
| Street Address |
119 REPRESENTATIVE ROW |
| City | LAFAYETTE |
| State | LA |
| Zip | 70598-3833 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelby L Labbe | Physical Therapy | Boulet Rehabilitation Services Inc | 119 Representative Row, Lafayette, LA 70598-3833 |
| Patricia A Boulet | Physical Therapy | Boulet Rehabilitation Services Inc | 119 Representative Row, Lafayette, LA 70598-3833 |
| City | LAFAYETTE |
| Zip Code | 70598 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LAFAYETTE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jordan T Fontenot.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.