NPIMap

Organization Active NPI

Adams Physical Therapy

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1114970050
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8254 Issued in CA
Legal business name
ADAMS PHYSICAL THERAPY
Practice address
1601 Kettner Blvd
Suite 11
San Diego, CA 92101-2500
Phone
(619) 544-1055
Fax
(619) 544-1056
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Eugene Adams, PT
Title
Owner
Phone
(619) 544-1055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT8254 CA Primary

Addresses

Primary practice location

1601 Kettner Blvd
Suite 11
San Diego, CA 92101-2500

Mailing address

1601 Kettner Blvd
Suite 11
San Diego, CA 92101-2500
Phone (619) 544-1055

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114970050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 KETTNER BLVD",
            "address_2": "SUITE 11",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012500",
            "telephone_number": "619-544-1055",
            "fax_number": "619-544-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 KETTNER BLVD",
            "address_2": "SUITE 11",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012500",
            "telephone_number": "619-544-1055",
            "fax_number": "619-544-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-544-1055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.