Janice Lynette Fountain, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

882 Issued in ID

Practice address

4110 N la Fontana Way
Boise, ID 83702-1559

Phone

(208) 867-9869

NPI assigned

Aug 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609391952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 N LA FONTANA WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021559",
            "telephone_number": "208-867-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 N LA FONTANA WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021559",
            "telephone_number": "208-867-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "JANICE",
        "middle_name": "LYNETTE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Foster
• Stoney Foster, D.C.
• Foundations for Independence LLC
• Foundry Behavioral Health PLLC
• Cynthia Fountain
• Taylor Kaylyn Fountain, PHARMD
• Carlee Renee Fountaine, MD
• Heather Fountaine, LMSW
• Jaron Fowers, DO
• Justin Fowler, MD

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.