Caroline Gordy Fountain, PHYSICAL THERAPIST
NPI 1043987647ActiveIndividual· Physical Therapist· Raymond, MS
Physical Therapist (PHYSICAL THERAPIST) in Raymond, Mississippi, licensed in MS, with an NPI issued in August 2021. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1043987647 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICAL THERAPIST |
| Sole proprietor | No |
| NPI issued | Aug 23, 2021 |
| Last updated in NPPES | Oct 30, 2023 |
| Certified by provider | Aug 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT7134 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MS) |
|---|
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