Individual provider Active NPI

Patrick Tatar, DPT

  • Physical Therapist
  • Grosse Pointe, MI
National Provider Identifier
1396402574
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501021627 Issued in MI
Practice address
17150 Waterloo St Ste 150
Grosse Pointe, MI 48230-1201
Phone
(313) 473-4700
NPI assigned
Nov 22, 2021
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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 5501021627 MI Primary

Addresses

Primary practice location

17150 Waterloo St Ste 150
Grosse Pointe, MI 48230-1201

Mailing address

17150 Waterloo St Ste 150
Grosse Pointe, MI 48230-1201
Phone (313) 473-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214001091 MI Practitioner - Physical Therapist in Private Practice 1254721897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501021627MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Oct 25, 2022 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 25, 2022 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820

485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

48800 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 997-7100

38093 Mound Rd
Sterling Hts, MI 48310
Phone (586) 826-4000

Interoperability endpoints

  • Direct secure messaging: patrick.tatar.p4@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1396402574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 WATERLOO ST STE 150",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301201",
            "telephone_number": "313-473-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 WATERLOO ST STE 150",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301201",
            "telephone_number": "313-473-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATAR",
        "first_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-22",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501021627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.