Individual provider Active NPI

Amy Marie McFadden-Decker, P.T.

  • Physical Therapist
  • Dubuque, IA
National Provider Identifier
1073736518
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03656 Issued in IA
Practice address
444 N Grandview Ave
Dubuque, IA 52001-6331
Phone
(563) 589-2497
NPI assigned
Apr 11, 2007
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03656 IA Primary

Addresses

Primary practice location

444 N Grandview Ave
Dubuque, IA 52001-6331

Mailing address

5531 N Dutch Hollow Rd
Potosi, WI 53820-8805
Phone (563) 590-4746

Other practice location 1

3375 Lake Ridge Dr
Dubuque, IA 52003-7864
Phone (563) 207-8932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211005001278 IA Practitioner - Physical Therapist in Private Practice 7416355581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statera LLCGroup PAC ID 3476950056, 5 clinicians

Practice addresses (Care Compare)

3375 Lake Ridge Dr
Dubuque, IA 52003-7864
Phone (563) 207-8932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Statera LLC CurrentSince Oct 1, 2021 Accepting new patients
Stand Strong Physical Therapy, LLC CurrentSince Oct 10, 2021 Accepting new patients
The Finley Hospital Physical Therapist PastSince Oct 10, 2021 Accepting new patients

Locations

3375 Lake Ridge Dr
Dubuque, IA 52003
Phone (563) 207-8932

3375 Lake Ridge Dr
#H
Dubuque, IA 52003
Phone (563) 207-8932

Interoperability endpoints

  • Direct secure messaging: amy.mcfadden.1@17282.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1073736518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 N DUTCH HOLLOW RD",
            "city": "POTOSI",
            "state": "WI",
            "postal_code": "538208805",
            "telephone_number": "563-590-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N GRANDVIEW AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016331",
            "telephone_number": "563-589-2497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3375 Lake Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520037864",
            "country_code": "US",
            "telephone_number": "563-207-8932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFADDEN-DECKER",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.