Jessica Fountain, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502001621 Issued in MI

Practice address

7402 Westshire Dr Ste 105
Lansing, MI 48917-8687

Phone

(517) 853-6800

Fax

(517) 853-6800

NPI assigned

Aug 31, 2010

Last updated

Jan 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Performance Physical Therapy, PLC

  • Physical Therapist
  • Lansing, MI
  • NPI 1134428642
  NPD
• Ryan and Monica Wohlfert, PC

  dba Total Health Chiropractic Center

  • Chiropractor
  • Lansing, MI
  • NPI 1952478125
  NPD
• Physiotherapy Associates, Inc.

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Battle Creek, MI
  • NPI 1023124823
  NPD (past)
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1427364249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 WESTSHIRE DR STE 105",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178687",
            "telephone_number": "517-853-6800",
            "fax_number": "517-853-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 WESTSHIRE DR STE 105",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178687",
            "telephone_number": "517-853-6800",
            "fax_number": "517-853-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "JESSICA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502001621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Foster
• Cheryl Foucher, DO
• Foundations Detroit,LLC (Skywood Outpatient-Lansing)
• Joseph Foundoulakis, MD
• Fountain of Wisdom and Hope LLC
• Ellen Joy Fowler, NP
• Jodie M Fowler, OT
• Kylie Fowler
• Greg Fox, RSW
• Holly J Fox, RN

• Physical Therapy Assistant in Lansing, MI
• Providers in Lansing, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.