Active NPI
Adam C Thomas, DPT, ATC
- Physical Therapist
- Dorchester, MA
National Provider Identifier
1063761138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20161
- Practice address
- 78 Tuttle St
Dorchester, MA 02125-1436 - Phone
- (617) 230-9554
- NPI assigned
- Sep 5, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20161 | MA | Primary |
| Athletic Trainer | 2255A2300X | 1658 | MA |
Addresses
Primary practice location
78 Tuttle St
Dorchester, MA 02125-1436
Mailing address
78 Tuttle St
Dorchester, MA 02125-1436
Phone (617) 230-9554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1658 | MA | MD | Behavioral Analyst |
| 20161 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1063761138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 TUTTLE ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021251436",
"telephone_number": "617-230-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 TUTTLE ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021251436",
"telephone_number": "617-230-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ADAM",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "20161",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "1658",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.