Robert Eugene Adams, PT

Individual provider Active NPI Physical Therapist · Beverly Hills, CA

NPI 1063557072 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1063557072
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT-24995 (CA)
Practice address
435 N Bedford Dr
Suite 102
Beverly Hills, CA 90210-4321
Phone
(310) 385-9064
Fax
(310) 385-9264
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT-24995CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Ahead Physical Therapy, Inc. Physical Therapist Past
since Aug 16, 2004
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-24995 CA Yes

Addresses

Primary practice location

435 N Bedford Dr
Suite 102
Beverly Hills, CA 90210-4321

Mailing address

10943 Alta View Dr
Studio City, CA 91604-3904
Phone (323) 899-1371

Other providers in Beverly Hills, CA

All providers in Beverly Hills, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.