Individual provider Active NPI

Adam James Holleman, DPT

  • Physical Therapist
  • North Palm Beach, FL
National Provider Identifier
1124435532
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30485 Issued in FL
Practice address
421 Northlake Blvd
Suite G
North Palm Beach, FL 33408
Phone
(252) 975-4395
Fax
(252) 975-4112
NPI assigned
Jul 17, 2014
Last updated
Sep 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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 PT30485 FL Primary

Addresses

Primary practice location

421 Northlake Blvd
Suite G
North Palm Beach, FL 33408

Mailing address

421 Northlake Blvd
Suite G
North Palm Beach, FL 33408

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110001622 FL Practitioner - Physical Therapist in Private Practice 4082924717 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Rehab Group LLC Physical Therapist CurrentSince Oct 31, 2024 Accepting new patients
Adams Therapy Solutions PLLC Current Accepting new patients
Marc a. Weinberg, D.C., P.a. CurrentSince Aug 17, 2015 Accepting new patients
United Thera Group LLC Physical Therapist CurrentSince Jan 9, 2024 Accepting new patients
Therapy Now Solutions CurrentSince Sep 8, 2024 Accepting new patients
Active Health Center, LLC PastSince Aug 17, 2015 Accepting new patients

Locations

7950 Dani Dr
#1402
Fort Myers, FL 33966
Phone (561) 900-2423

421 Northlake Blvd
Ste F
North Palm Beach, FL 33408
Phone (561) 842-2273

421 Northlake Blvd
Ste G
North Palm Beach, FL 33408
Phone (561) 842-2273

Organizations & group practices 6

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": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1124435532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 NORTHLAKE BLVD",
            "address_2": "SUITE G",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "33408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NORTHLAKE BLVD",
            "address_2": "SUITE G",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "252-975-4395",
            "fax_number": "252-975-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEMAN",
        "first_name": "ADAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.