Individual provider Active NPI

Adam Menard, DPT

  • Physical Therapist
  • Scituate, MA
National Provider Identifier
1013366160
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22231 Issued in MA
Practice address
56 New Driftway
Scituate, MA 02066-4533
Phone
(781) 544-3434
NPI assigned
Jun 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22231 MA Primary

Addresses

Primary practice location

56 New Driftway
Scituate, MA 02066-4533

Mailing address

4572 Telephone Rd
Ste 903
Ventura, CA 93003-5663
Phone (805) 654-8127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725001116 CA Practitioner - Physical Therapist in Private Practice 0840575726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1307 S Harbor Blvd
Unit 32
Fullerton, CA 92832-3001
Phone (657) 242-8710

505 N Euclid St
Suite 680
Anaheim, CA 92801-5509
Phone (714) 780-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehab & Sports Therapy CurrentSince Mar 1, 2020 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

1640 Newport Blvd
Ste 260
Costa Mesa, CA 92627
Phone (949) 335-7967

11420 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (657) 204-2959

18682 Beach Blvd
Ste 160
Huntington Beach, CA 92648
Phone (714) 378-1300

4950 Barranca Pkwy
Ste 302
Irvine, CA 92604
Phone (949) 346-1486

24050 Aliso Creek Rd
Ste 1C
Laguna Niguel, CA 92677
Phone (949) 317-4454

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

26302 La Paz Rd
Ste 105
Mission Viejo, CA 92691
Phone (949) 206-1700

22342 El Paseo
Ste G
Rancho Santa Margarita, CA 92688
Phone (949) 755-0796

415 E Avenida Pico
Ste M
San Clemente, CA 92672
Phone (949) 245-6581

31105 Rancho Viejo Rd
Ste C9
San Juan Capo, CA 92675
Phone (949) 240-6196

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1013366160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 TELEPHONE RD",
            "address_2": "STE 903",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035663",
            "telephone_number": "805-654-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 NEW DRIFTWAY",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664533",
            "telephone_number": "781-544-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD",
        "first_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.