Individual provider Active NPI

Adam Ladwig, PT

  • Physical Therapist
  • Haiku, HI
National Provider Identifier
1013391739
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4021 Issued in HI
Practice address
810 Kokomo Rd Ste 148
Haiku, HI 96708-5075
Phone
(808) 446-1872
NPI assigned
Jul 13, 2015
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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 4021 HI Primary

Addresses

Primary practice location

810 Kokomo Rd Ste 148
Haiku, HI 96708-5075

Mailing address

PO Box 646
Haiku, HI 96708-0646
Phone (808) 446-1872

Other practice location 1

81 Makawao Ave Ste 110
Makawao, HI 96768
Phone (808) 572-2281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150925000022 HI Practitioner - Physical Therapist in Private Practice 0749598712 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

Practice addresses (Care Compare)

810 Kokomo Rd
Suite 148
Haiku, HI 96708-5075
Phone (808) 446-1872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4021HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy at Pukalani, LLC Physical Therapist CurrentSince Mar 16, 2021 Accepting new patients
Groundswell Physical Therapy, LLC Physical Therapist CurrentSince Mar 31, 2021 Accepting new patients

Locations

810 Kokomo Rd
Ste 148
Haiku, HI 96708
Phone (808) 446-1872

81 Makawao Ave
Ste 110
Makawao, HI 96768
Phone (808) 572-2281

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1013391739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967080646",
            "telephone_number": "808-446-1872",
            "fax_number": "808-874-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 KOKOMO RD STE 148",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967085075",
            "telephone_number": "808-446-1872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Makawao Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Makawao",
            "state": "HI",
            "postal_code": "96768",
            "country_code": "US",
            "telephone_number": "808-572-2281",
            "fax_number": "808-573-5869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADWIG",
        "first_name": "ADAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haiku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.