ERICK FOUNTAIN (PT) – Physical Therapist, NPI 1255529434

ERICK FOUNTAIN (PT) is a healthcare provider. based in Macomb, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501010159 (MI). The NPI Number for ERICK FOUNTAIN (PT) is 1255529434

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
ERICK FOUNTAIN (PT)
NPI
1255529434
Phone
(586) 949-5334
Address
21384 PINE CONE DR
Enumeration Date
12 October 2007
Last Update Date
12 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5865665116
Graduation Year
1999 (27 years ago)
PAC ID
0840363719
Group Practice PAC ID
1153494018
Professional Enrollment ID
I20080725000160
Address ID
MI483152937SH51064DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for ERICK FOUNTAIN (PT)

  • 21384, Pine Cone Drive, Macomb Township, Macomb County, Michigan, 48042, United States

    MACOMB, MI 480424335

    Phone: (586) 949-5334

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080725000160IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,27659$0
97140Therapy procedure using manual technique, each 15 minutes78358$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care63255$0
97162Evaluation for physical therapy, typically 30 minutes4944$0
View full utilization report →

Insurance plans in this area (ZIP 48042)

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Provider's Procedures

ERICK FOUNTAIN (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes47048

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153494018View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What identifier follows ERICK FOUNTAIN (PT) across health systems?
The NPI 1255529434 uniquely identifies ERICK FOUNTAIN (PT) in U.S. healthcare data.
Is ERICK FOUNTAIN (PT)'s NPI status active today?
Active status means ERICK FOUNTAIN (PT)'s NPI record is not deactivated in the public file.
Which specialty label fits ERICK FOUNTAIN (PT)?
NPPES ties ERICK FOUNTAIN (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ERICK FOUNTAIN (PT)?
ERICK FOUNTAIN (PT) shows a connection to Macomb, Michigan in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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