Individual provider Active NPI

Aminata Fountain, DPT

  • Orthopedic Physical Therapist
  • Greenbelt, MD
National Provider Identifier
1447511860
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
23993 Issued in MD
Practice address
7500 Hanover Pkwy
Suite 103
Greenbelt, MD 20770-2010
Phone
(301) 446-1644
Fax
(301) 446-9056
NPI assigned
Jun 1, 2012
Last updated
Jun 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 23993 MD Primary

Addresses

Primary practice location

7500 Hanover Pkwy
Suite 103
Greenbelt, MD 20770-2010

Mailing address

7500 Hanover Pkwy
Suite 103
Greenbelt, MD 20770-2010
Phone (301) 446-1644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701000155 DC Practitioner - Physical Therapist in Private Practice 6901053966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy and Pain Management Center LLCGroup PAC ID 8729172275, 4 clinicians
Bethesda Physical TherapyGroup PAC ID 9032169529, 16 clinicians

Practice addresses (Care Compare)

11120 New Hampshire Ave
Suite 200
Silver Spring, MD 20904-2679
Phone (301) 592-8200

6410 Rockledge Dr
Suite 301
Bethesda, MD 20817-1841
Phone (301) 897-0357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23993MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Physical Therapy Orthopedic CurrentSince Nov 8, 2024 Accepting new patients
Mosaddegh Physical Therapy Inc CurrentSince Apr 6, 2015 Accepting new patients
Physical Therapy and Pain Management Center LLC Orthopedic CurrentSince Feb 29, 2016 Accepting new patients
Physical Therapy and Pain Management Center LLC Past Accepting new patients
Physical Therapy and Pain Management Center LLC PastSince Jul 17, 2022 Accepting new patients

Locations

6410 Rockledge Dr
Ste 301
Bethesda, MD 20817
Phone (301) 520-3455

7500 Hanover Pkwy
Ste 103
Greenbelt, MD 20770
Phone (301) 446-1644

10400 Connecticut Ave
Ste 103
Kensington, MD 20895
Phone (240) 233-8119

10901 Connecticut Ave
Ste 201
Kensington, MD 20895
Phone (240) 558-4404

17902 Georgia Ave
Ste 220
Olney, MD 20832

4595 Van Buren St
#210
Riverdale Pk, MD 20737
Phone (301) 864-0009

11120 New Hampshire Ave
Ste 200
Silver Spring, MD 20904
Phone (301) 592-8200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1447511860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "SUITE 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702010",
            "telephone_number": "301-446-1644",
            "fax_number": "301-446-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "SUITE 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702010",
            "telephone_number": "301-446-1644",
            "fax_number": "301-446-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "AMINATA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "23993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.