Healthcare Provider Details

I. General information

NPI: 1962320259
Provider Name (Legal Business Name): QUADE PATE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 PALMER RD STE D
MADISON AL
35758-3186
US

IV. Provider business mailing address

814 PALMER RD STE D
MADISON AL
35758-3186
US

V. Phone/Fax

Practice location:
  • Phone: 256-622-5410
  • Fax: 256-622-5415
Mailing address:
  • Phone: 256-622-5410
  • Fax: 256-622-5415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2-1608
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: