MS. CAROLINE GORDY FOUNTAIN PHYSICAL THERAPIST
NPI 1043987647
Physical Therapist in Raymond, MS

Active since August 23, 2021
13010 HWY 18, RAYMOND, MS 39154(601) 857-2229(601) 857-8223 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 30, 2023, Aug 23, 2021 (2 updates tracked since 2021).

About Ms. Caroline Gordy Fountain Physical Therapist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CAROLINE GORDY FOUNTAIN PHYSICAL THERAPIST (NPI 1043987647) is an individual physical therapist in Raymond, Mississippi, licensed in Mississippi (PT7134) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1043987647
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMS. CAROLINE GORDY FOUNTAINCredential: PHYSICAL THERAPIST
Location Address13010 HWY 18Raymond, MS 39154-9526
Mailing Address921 West Beacon StreetPhiladelphia, MS 39350 · (601) 650-0002 · Fax (601) 650-9902
Fax(601) 857-8223
Sole ProprietorNo
Enumeration DateAugust 23, 2021
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1043987647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MS · PT7134
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
13010 HWY 18, Raymond, MS 39154

Other Names 1

Former Name (1)Caroline Gordy

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Caroline Gordy Fountain Physical Therapist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Caroline Fountain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
619 HIGHLAND COLONY PKWY
Ridgeland, MS 39157
  • Reassigned Medicare billing, Mississippi enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
13010 HWY 18
RAYMOND, MS 39154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Fountain's NPI number?

The NPI number for Caroline Fountain is 1043987647. It was assigned to this individual provider in the NPPES registry on August 23, 2021. The provider is also known as Caroline Gordy.

Where is Caroline Fountain located?

Caroline Fountain practices at 13010 Hwy 18, Raymond, MS 39154. The listed phone number is (601) 857-2229.

What is Caroline Fountain's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Caroline Fountain enrolled in Medicare?

Yes. Caroline Fountain is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caroline Fountain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Fountain reassigns Medicare benefits to Aegis Group Practice LLC (Ridgeland, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Fountain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Caroline Fountain was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.