Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Scott R Fogus, PT

Individual provider Physical Therapist · NPI 1588866008

Scott R Fogus, PT is a Physical Therapist in Private Practice in Michigan City, Indiana. Qualified in 2007, 19 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
19
Licensed in
IL, IN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3939 Franklin St Ste 1
Michigan City, IN 46360-7984
Phone: (219) 214-4060
Fax: (219) 214-4061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)
Physical Therapist Taxonomy 225100000X · Licence 05010596A (IN)

Record details

NPI number1588866008
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 5, 2007
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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