Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael F La Fountaine, EDD, ATC, FACSM

Individual provider Athletic Trainer · NPI 1225656507

Dr. Michael F La Fountaine, EDD, ATC, FACSM is an Athletic Trainer in South Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2020.

Licensed in
NJ
In the registry since
2020
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

400 S Orange Ave
South Orange, NJ 07079-2697
Phone: (973) 275-2918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00116500 (NJ)

Record details

NPI number1225656507
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD , ATC , FACSM
Sole proprietorNo
NPI enumeratedJuly 13, 2020
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020

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