Dr Amy Vitale, DPT in Grosse Pointe Farms, MI - Medicare Physical Therapist Provider

Dr Amy Vitale, DPT is a medicare enrolled "Physical Therapist" provider in Grosse Pointe Farms, Michigan. Her current practice location is 159 Kercheval Ave, Grosse Pointe Farms, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 640-2200.

Dr Amy Vitale is licensed to practice in Michigan (license number 5501019935) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053904912.

Contact Information

	Dr Amy Vitale, DPT
	159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610
	(313) 640-2200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Amy Vitale
Gender	Female
Speciality	Physical Therapist
Location	159 Kercheval Ave, Grosse Pointe Farms, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053904912
Provider Enumeration Date: 02/11/2021
Last Update Date: 05/07/2026

Medicare PECOS Information:

PECOS PAC ID: 0749695823
Enrollment ID: I20210223002297

Medical Identifiers

Medical identifiers for Dr Amy Vitale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053904912	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501019935 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Amy Vitale allows following entities to bill medicare on her behalf.

Provider Name	Advanced Downtown Aquatic Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1861850547 PECOS PAC ID: 3779878418 Enrollment ID: O20160823001929

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amy Vitale is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Amy Vitale, DPT 22809 Francis St, Saint Clair Shores, MI 48082-1795 Ph: () -	Dr Amy Vitale, DPT 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 Ph: (313) 640-2200

Reviews and Comments

Physical Therapist in Grosse Pointe Farms, MI

Emily Lyn Dreshaj, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2200
Mr. Michael Robert Burd, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2200 Fax: 313-881-5394
Mrs. Daryn Lynn Schwartz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2200 Fax: 313-881-5394
Julie A.m. Nardone, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2200
Nancy Ann Nowak, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2200
Dianna Vanderpool, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2200

Dr Amy Vitale, DPT - Medicare Physical Therapist in Grosse Pointe Farms, MI