Joseph L Fountain, atc
Specialist/Technologist, Athletic Trainer in Middletown, CT. Individual provider (NPI-1).
NPI number1265477178
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1265477178
- Entity type
- Individual (NPI-1)
- Name
- Joseph L Fountain
- Credential
- atc
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2006
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
161 Cross StMiddletown, CT 06459-0001
Phone 860-685-3528
Mailing address
74 Red Glen RdMiddletown, CT 06457-4975
Phone 860-344-1268
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Athletic Trainer providers in Middletown · All 1,959 providers in Middletown
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