MR. ANDREW JOSEPH FATE (MS, PT) – Physical Therapist, NPI 1164477121

MR. ANDREW JOSEPH FATE (MS, PT) is a healthcare provider. based in Portage, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS, PT. They hold a License No. 5501011155 (MI). The NPI Number for MR. ANDREW JOSEPH FATE (MS, PT) is 1164477121

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANDREW JOSEPH FATE (MS, PT)
NPI
1164477121
Phone
(269) 459-6212
Address
1908 W MILHAM AVE
Enumeration Date
24 May 2006
Last Update Date
11 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694596212
Graduation Year
2002 (24 years ago)
PAC ID
4183631062
Group Practice PAC ID
9830324482
Professional Enrollment ID
I20060320000270
Address ID
MI490241232PO1908XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for MR. ANDREW JOSEPH FATE (MS, PT)

  • East Milham Avenue, Portage, Kalamazoo County, Michigan, 49002, United States

    PORTAGE, MI 490241232

    Phone: (269) 459-6212

    Fax: (269) 585-6068

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060320000270IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,04963$0
97140Therapy procedure using manual technique, each 15 minutes70349$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes50353$0
97530Therapy procedure using functional activities12523$0
97032Application of electrical stimulation with therapist present, each 15 minutes8021$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830324482View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Where can patients find MR. ANDREW JOSEPH FATE (MS, PT)'s NPI?
You can confirm MR. ANDREW JOSEPH FATE (MS, PT) with NPI 1164477121; it appears in the national provider directory.
Is MR. ANDREW JOSEPH FATE (MS, PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MR. ANDREW JOSEPH FATE (MS, PT) treat or focus on?
Patients typically see MR. ANDREW JOSEPH FATE (MS, PT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. ANDREW JOSEPH FATE (MS, PT)?
The page summarizes Portage, Michigan for MR. ANDREW JOSEPH FATE (MS, PT); expand the address list for detail.
How can I contact MR. ANDREW JOSEPH FATE (MS, PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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