Nancy Fugate, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13153 Issued in WI

Practice address

800 Riverside Dr
Waupaca, WI 54981-1943

Phone

(715) 258-1053

NPI assigned

Jul 8, 2015

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 names 1

• Nancy Ostrowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: nfugate34152@direct.thedacare.org

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1265815252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "715-258-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RIVERSIDE DR",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811943",
            "telephone_number": "715-258-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 S Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543012878",
            "country_code": "US",
            "telephone_number": "920-337-1122",
            "fax_number": "920-337-1126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "NANCY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "OSTROWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Rose Forslin
• Fox Valley Hematology & Oncology, S.C.
• Becky L Franz, M.S. CCC-A
• Carol Lynn Freeman, REGISTERED NURSE
• Alison Wismer Fries, PHD
• Sandra Mary Gallow, LPC LICENSED PROFESS
• Renee Gardner, REGISTERED NURSE
• Daniel L. Gauerke, O.D.
• Cassandra Glodowski, MS,LAT,ATC
• Kathleen Ann Goodreau

• Physical Therapist in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.