Active NPI
Adam Newell Fatkin, DPT
- Physical Therapist
- New Albany, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5170 Charlestown Rd Ste 102
New Albany, IN 47150-8400 - Phone
- (812) 590-8888
- Fax
- (812) 590-8183
- NPI assigned
- May 14, 2019
- Last updated
- May 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | KY | Primary |
Addresses
Primary practice location
5170 Charlestown Rd Ste 102
New Albany, IN 47150-8400
Mailing address
PO Box 5629
Evansville, IN 47716-5629
Phone (812) 759-7475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prorehab Louisville
Practice addresses (Care Compare)
3052 Bardstown Rd
Louisville, KY 40205-3020
Phone (502) 454-5544
5170 Charlestown Rd
Suite 102
New Albany, IN 47150-8400
Phone (812) 590-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prorehab Louisville, LLC | Physical Therapist | Current | Accepting new patients |
| Prorehab Louisville | Physical Therapist | Current | Accepting new patients |
| Prorehab Louisville | Physical Therapist | Current | Accepting new patients |
Locations
1440 Veterans Pkwy
Ste 400
Clarksville, IN 47129
Phone (812) 924-5010
1015 Jeffersonville Commons Dr
Jeffersonvlle, IN 47130
Phone (812) 984-3020
5170 Charlestown Rd
Ste 102
New Albany, IN 47150
Phone (812) 590-8888
1407 E Crystal Dr
Ste E
Lagrange, KY 40031
Phone (502) 222-0280
169 S English Station Rd
Louisville, KY 40245
Phone (502) 245-1136
170 Dr Arla Way
Ste 102
Louisville, KY 40229
Phone (502) 897-7300
3052 Bardstown Rd
Louisville, KY 40205
Phone (502) 454-5544
3630 Brownsboro Rd
Louisville, KY 40207
Phone (502) 749-6950
6005 Timber Ridge Dr
Prospect, KY 40059
Phone (502) 292-0800
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Louisville, KY
- NPI 1700282589
IN, Physical Therapist
-
- Physical Therapist
- Crestwood, KY
- NPI 1982473880
-
- Physical Therapy Clinic/Center
- Scottsburg, IN
- NPI 1053161349
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1689230823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5629",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477165629",
"telephone_number": "812-759-7475",
"fax_number": "812-401-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5170 CHARLESTOWN RD STE 102",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471508400",
"telephone_number": "812-590-8888",
"fax_number": "812-590-8183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATKIN",
"first_name": "ADAM",
"middle_name": "NEWELL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.