David Henry Pate, MSPT, MS, CSCS
Individual provider Active NPI Physical Therapist · Athens, GA
NPI 1962582445 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1962582445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT004844 (GA)
- Practice address
- 1765 Old West Broad St
Athens, GA 30606-2853 - Phone
- (706) 549-1663
- Fax
- (706) 546-8792
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athens Orthopedic Clinic, PA
Practice addresses (Care Compare)
850 King Ave
Athens, GA 30606-2838
Phone (706) 549-1663
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101021001157 | GA | Practitioner - Physical Therapist in Private Practice | 6800997750 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Orthopedic Clinic, PA | Current |
Accepting new patients | |
| Athens Orthopedic Clinic, PA | Current |
Accepting new patients | |
| Pediatric Orthopedic Associates | Past | Accepting new patients | |
| Elite Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Peak Rehabilitation, Inc | Past |
Accepting new patients |
Locations
1765 Old West Broad St
Ste 200
Athens, GA 30606
Phone (706) 433-4088
1765 Old West Broad St
Bldg 2
Athens, GA 30606
Phone (706) 548-2060
1765 Old West Broad St
Athens, GA 30606
Phone (706) 548-6881
850 King Ave
Athens, GA 30606
Phone (706) 548-2060
1765 Old West Broad St
Bldg 2-200
Athens, GA 30606
Phone (706) 433-4088
3440 Highway 81
Loganville, GA 30052
Phone (770) 554-5009
Interoperability endpoints
- david.pate.1@28045.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004844 | GA | Yes |
Addresses
Primary practice location
1765 Old West Broad St
Athens, GA 30606-2853
Mailing address
1765 Old West Broad St BLDG 2-200
Athens, GA 30606-2887
Phone (706) 549-1663
Other practice location 1
3440 Highway 81
Loganville, GA 30052-9112
Phone (770) 554-5009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11798056 | Other | GA | CAQH NUMBER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | david.pate.1@28045.direct.athenahealth.com |
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.