Angela Rosemarie Tate, PT, PHD, CERT MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006102L Issued in PA

Practice address

1003 Easton Rd
105 Chateau
Willow Grove, PA 19090-2027

Phone

(215) 659-7759

Fax

(215) 659-6658

NPI assigned

Oct 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  Medicare reassignment Care Compare group NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  dba Excel Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  Medicare reassignment NPD
• Willow Grove Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Willow Grove, PA
  • NPI 1083659783

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1265423172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 EASTON RD",
            "address_2": "105 CHATEAU",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902027",
            "telephone_number": "215-659-7759",
            "fax_number": "215-659-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 EASTON RD",
            "address_2": "105 CHATEAU",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902027",
            "telephone_number": "215-659-7759",
            "fax_number": "215-659-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ANGELA",
        "middle_name": "ROSEMARIE",
        "name_prefix": "Mrs.",
        "credential": "PT, PHD, CERT MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006102L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011976290001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000644553",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2101185",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30022508",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Millard Sutton, LCSW
• Peter Swanljung, MD
• Ewa Szumowska, LPC
• Amelia L a Tabuena, MD
• Jenny Grace Sevilla Tancinco, PT
• Sandra Tatigikis-Faw, OTR/L, CHT
• Joy Teel
• Thakker & Amin LLC (Agape Homes)
• Tricia L Thalheimer, LCSW
• The Balanced Path Counseling, LLC

• Physical Therapist in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.