Tessa Fate, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2018028398 Issued in MO

Practice address

322 N Central Ave
Eureka, MO 63025-1826

Phone

(636) 938-4065

Fax

(636) 938-4067

NPI assigned

Aug 21, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1356821045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N CENTRAL AVE",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251826",
            "telephone_number": "636-938-4065",
            "fax_number": "636-938-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N CENTRAL AVE",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251826",
            "telephone_number": "636-938-4065",
            "fax_number": "636-938-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATE",
        "first_name": "TESSA",
        "credential": "PT,  DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2018028398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eureka Physical Therapy
• Eureka Play Therapy
• Eureka Smiles
• Eureka Urgent Care LLC
• Eye Associates Partners LLC
• Patrick D Feder, DC
• Nichole Danielle Fink, D.C.
• Ashly Nicole Fisher, DO
• Cortney Marie Fogarty, O.D.
• Francis Place Operator LLC

• Orthopedic Physical Therapist in Eureka, MO
• Providers in Eureka, MO by specialty
• Orthopedic Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.