Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Micah D Fontenot, PT, DPT

Individual provider Physical Therapist · NPI 1780441543

Micah D Fontenot, PT, DPT is a Physical Therapist in Private Practice in Tucson, Arizona. Qualified in 2023, 3 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2024
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2990 N Campbell Ave Ste 220
Tucson, AZ 85719-2995
Phone: (520) 407-5706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 368 Lakehurst Rd Ste 206, Toms River, NJ 08755-7339 — (732) 557-9980

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP039992T (AZ)
Physical Therapist Taxonomy 225100000X · Licence 11564 (AZ)

Record details

NPI number1780441543
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 28, 2024
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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