Individual provider Active NPI

Katie Amanda Fadler, DPT

  • Physical Therapist
  • Hoover, AL
National Provider Identifier
1609644301
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11627 Issued in AL
Practice address
10 Meadowview Dr Ste 201
Hoover, AL 35242-7700
Phone
(205) 332-3000
Fax
(205) 545-5358
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 PTH11627 AL Primary

Addresses

Primary practice location

10 Meadowview Dr Ste 201
Hoover, AL 35242-7700

Mailing address

3125 Independence Dr Ste 300B
Birmingham, AL 35209-4168
Phone (205) 263-2770

Other names 1

  • Katie Fuller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231229002259 AL Practitioner - Physical Therapist in Private Practice 2466802632 Reassigns benefits to 1 organization
I20250318002648 IN Practitioner - Physical Therapist in Private Practice 2466802632 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prorehab IncGroup PAC ID 1254317217, 81 clinicians

Practice addresses (Care Compare)

5625 Pearl Dr
Suite 100
Evansville, IN 47712-8106
Phone (812) 759-7493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH11627ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Inc Physical Therapist CurrentSince Feb 21, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Physical Therapist Current Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Prorehab Inc Physical Therapist CurrentSince Feb 21, 2025 Accepting new patients
Ew Motion Therapy Meadowbrook LLC Physical Therapist CurrentSince Dec 19, 2023 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Current Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Feb 21, 2025 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Physical Therapist CurrentSince Feb 21, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

3125 Independence Dr
Ste 300B
Homewood, AL 35209
Phone (205) 263-2770

10 Meadowview Dr
Ste 201
Hoover, AL 35242
Phone (205) 332-3000

4 Office Park Cir
Ste 217
Mountain Brk, AL 35223
Phone (205) 263-2770

3070 Warrick Dr
Boonville, IN 47601
Phone (812) 431-0517

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

5625 Pearl Dr
Ste 100
Evansville, IN 47712
Phone (812) 759-7493

415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764

4659 N 1st Ave
Evansville, IN 47710
Phone (812) 759-3001

5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800

75 Industrial Park Rd
Ste D
Ferdinand, IN 47532
Phone (502) 882-9379

10294 S 150 E
Haubstadt, IN 47639
Phone (812) 768-5207

8450 Northwest Blvd
Indianapolis, IN 46278

8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464

1952 S State Road 57
Oakland City, IN 47660
Phone (812) 999-3070

2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1609644301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR STE 300B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094168",
            "telephone_number": "205-263-2770",
            "fax_number": "205-263-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEADOWVIEW DR STE 201",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352427700",
            "telephone_number": "205-332-3000",
            "fax_number": "205-545-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADLER",
        "first_name": "KATIE",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "FULLER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.