NPIMap

Organization Active NPI

Adams Sports Medicine & Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Novi, MI
National Provider Identifier
1043553597
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ADAMS SPORTS MEDICINE & PHYSICAL THERAPY, P.C.
Practice address
46001 Grand River Ave
Suite a
Novi, MI 48374-1319
Phone
(248) 513-3003
Fax
(248) 513-3004
NPI assigned
Apr 3, 2013
Last updated
Jun 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Dr. Brian J Adams, PT, DPT, OCS, CSCSNPI 1245367473
Title
Owner
Phone
(248) 513-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

46001 Grand River Ave
Suite a
Novi, MI 48374-1319

Mailing address

46001 Grand River Ave
Suite a
Novi, MI 48374-1319
Phone (248) 513-3003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130617000071 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648419077 Receives reassigned benefits from 11 practitioners
Practice locations: Novi, MI; Plymouth, MI

National Provider Directory

National Provider Directory

Locations

46001 Grand River Ave
#A
Novi, MI 48374
Phone (248) 349-4736

46001 Grand River Ave
Ste A
Novi, MI 48374
Phone (248) 513-3003

14900 N Beck Rd
Plymouth, MI 48170
Phone (248) 513-3003

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1043553597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46001 GRAND RIVER AVE",
            "address_2": "SUITE A",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741319",
            "telephone_number": "248-513-3003",
            "fax_number": "248-513-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46001 GRAND RIVER AVE",
            "address_2": "SUITE A",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741319",
            "telephone_number": "248-513-3003",
            "fax_number": "248-513-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS SPORTS MEDICINE & PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-513-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.