MS. Caroline Gordy Fountain, PHYSICALTHERAPIST
MS. Caroline Gordy Fountain, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Raymond, Mississippi. Qualified in 2021, 5 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 5
- Licensed in
- MS
- In the registry since
- 2021
Practice location Address checks out
13010 Hwy 18Raymond, MS 39154-9526
Phone: (601) 857-2229
Fax: (601) 857-8223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT7134 (MS) |
|---|
Record details
| NPI number | 1043987647 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICALTHERAPIST |
| Sole proprietor | No |
| NPI enumerated | August 23, 2021 |
| Last updated in NPPES | October 30, 2023 |
| Certification date | August 23, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Aegis Group Practice Llc — 406 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Raymond
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Cassie Thompson Brister, PT
13010 Highway 18, Raymond, MS 39154-8900 · (601) 857-2229
-
Lauren Freeman, PT
13010 Highway 18, Raymond, MS 39154-8900 · (601) 857-2229