Individual provider Active NPI

Christopher J Fountain, PT, OCS, MTC

  • Orthopedic Physical Therapist
  • Vestavia, AL
National Provider Identifier
1447285309
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTH3863 Issued in AL
Practice address
3234 Cahaba Heights Rd
Vestavia, AL 35243
Phone
(205) 298-9101
Fax
(205) 298-9103
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH3863 AL
Orthopedic Physical Therapist 2251X0800X PTH3863 AL Primary

Addresses

Primary practice location

3234 Cahaba Heights Rd
Vestavia, AL 35243

Mailing address

3234 Cahaba Heights Rd
Vestavia, AL 35243-1614
Phone (205) 298-9101

Other identifiers 3

IdentifierTypeStateIssuer
890016350MedicaidAL
51530042OtherALBCBS OF AL
7060773OtherALAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041229000865 AL Practitioner - Physical Therapist in Private Practice 4183682602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Physical Therapy and Sports Medicine IncGroup PAC ID 2668401993, 8 clinicians

Practice addresses (Care Compare)

3234 Cahaba Heights Rd
Vestavia, AL 35243-1614
Phone (205) 298-9101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH3863ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Jan 4, 2016 Accepting new patients
Rehab Associates, LLC Physical Therapist Past Accepting new patients

Locations

3234 Cahaba Heights Rd
Vestavia, AL 35243
Phone (205) 298-9101

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1447285309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 CAHABA HEIGHTS RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352431614",
            "telephone_number": "205-298-9101",
            "fax_number": "205-298-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 CAHABA HEIGHTS RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-298-9101",
            "fax_number": "205-298-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT, OCS, MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3863",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH3863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890016350",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51530042",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7060773",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.