Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578855326 Individual Practitioner Female Practitioner

Danielle Fountain , LMT, NCTMB, MMP

Massage Therapist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Danielle Fountain, LMT, NCTMB, MMP is a registered healthcare professional specializing in Massage Therapist in St Augustine, FL. Practice services are available at 212 SAN MARCO AVE STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

212 San Marco Ave Ste C

St Augustine, FL 320842771

Telephone 9043471855

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.8 Yrs
Regional Practice Density
48 Specialists

Practicing in St Augustine, FL (7145 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License FL MA48413

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 12, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 12, 2011

Registered at 212 SAN MARCO AVE STE C, ST AUGUSTINE, FL 320842771 (Tel: 9043471855)

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Updated Business Mailing Address October 12, 2011

Registered at 10 DUPONT LN, ST AUGUSTINE, FL 320843208 (Tel: 9043471855)

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Provider Name / Credentials Updated October 12, 2011

Recorded as DANIELLE FOUNTAIN, LMT, NCTMB, MMP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2011

Massage Therapist (License #MA48413 in FL)

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Initial NPI Registration & Enumeration May 12, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578855326
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2011
Last Update: October 12, 2011
Sole Proprietor: Yes

Mailing Address

10 Dupont Ln

St Augustine, FL 320843208

Phone: 9043471855

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.