Fontaine Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19959 Issued in MD

Legal business name

FONTAINE PHYSICAL THERAPY

Practice address

18704 Willow Grove Rd
Olney, MD 20832-1226

Phone

(240) 476-2352

NPI assigned

Feb 26, 2013

Last updated

Feb 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen C Fontaine, PT, MPT, DPT

Title

Owner

Phone

(240) 476-2352

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1255671368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18704 WILLOW GROVE RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321226",
            "telephone_number": "240-476-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18704 WILLOW GROVE RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321226",
            "telephone_number": "240-476-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTAINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "FONTAINE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-476-2352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, MPT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Olney, MD
• Providers in Olney, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.