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

Mr. Charles Nathaniel Fontenette Jr., PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1558024638

Mr. Charles Nathaniel Fontenette Jr., PTA is a Physical Medicine & Rehabilitation Physician in Houston, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

11001 Crescent Moon Dr
Houston, TX 77064-4024
Phone: (281) 477-8877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2029932 (TX)

Record details

NPI number1558024638
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 15, 2021
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021

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