Andrew Joseph Fate, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011155 Issued in MI

Practice address

1908 W Milham Ave
Portage, MI 49024-1232

Phone

(269) 459-6212

Fax

(269) 585-6068

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Specialists, LLCGroup PAC ID 9830324482, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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

• Rehab Specialists, LLC

  • Physical Therapist
  • Portage, MI
  • NPI 1366881005
  Medicare reassignment Care Compare group NPD Authorized official
• Optimal Rehab and Wellness, Inc

  • Occupational Therapist
  • Kalamazoo, MI
  • NPI 1528013588

  Physical Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1164477121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241232",
            "telephone_number": "269-459-6212",
            "fax_number": "269-585-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241232",
            "telephone_number": "269-459-6212",
            "fax_number": "269-585-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATE",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dentistry Auville M Krause
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• Kayla Fanning
• Thai Farnsworth
• Kim Ann Fatato, LMSW
• Tracy Fate, MA, CCC-SLP
• David Frank Fatzinger, ED.D.
• Allan Faust, PA-C
• Fawley-Huss Counseling LLC
• Kathleen Ann Fawley-Huss, LMSW, BCD

• Physical Therapist in Portage, MI
• Providers in Portage, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.