Individual provider Active NPI

Adam Newell Fatkin, DPT

  • Physical Therapist
  • New Albany, IN
National Provider Identifier
1689230823
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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 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, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190913001398 IN Practitioner - Physical Therapist in Private Practice 0143559351 Reassigns benefits to 1 organization
I20190917000882 KY Practitioner - Physical Therapist in Private Practice 0143559351 Reassigns benefits to 1 organization

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 LouisvilleGroup PAC ID 4587981337, shared by 5 NPIs, 71 clinicians

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

OrganizationSpecialtyStatusNew patients
Prorehab Louisville, LLC Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
Prorehab Louisville Physical Therapist CurrentSince Aug 1, 2019 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.

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.

Verify at the official NPI Registry.