Fountain Place Rehab Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FOUNTAIN PLACE REHAB INC

Practice address

118 Nick Savas Dr
Logan, WV 25601-3468

Phone

(304) 752-4045

Fax

(304) 752-4045

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Abel C Borromeo, DCNPI 1174572283

Title

Owner

Phone

(304) 752-4045

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abel C Borromeo V, DC

  • Chiropractor
  • Winchester, VA
  • NPI 1174572283
  NPD (past) Authorized official
• Andrew Toler

  • Physical Medicine & Rehabilitation Physician
  • Logan, WV
  • NPI 1821017716
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437169836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NICK SAVAS DR",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013468",
            "telephone_number": "304-752-4045",
            "fax_number": "304-752-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NICK SAVAS DR",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013468",
            "telephone_number": "304-752-4045",
            "fax_number": "304-752-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN PLACE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORROMEO",
        "authorized_official_first_name": "ABEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-752-4045",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelcee Fillinger
• Shelly L Fizer, APRN, FNP-C
• Emma Grace Fleming
• Patricia Fleming
• Casey Flint, PA-C
• Hope Fraganeno
• Jennifer Lynn Frazier, ED.S.
• Shealeigh Brooke Frazier
• Freeman Eye Care PLLC
• Gabriel Lee Frye, M.ED.

• Physical Medicine & Rehabilitation Physician in Logan, WV
• Providers in Logan, WV by specialty
• Physical Medicine & Rehabilitation Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.