Adam Zacker King, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5059 Issued in OR

Practice address

16195 SW 72ND Ave
Portland, OR 97224-7766

Phone

(503) 619-1020

NPI assigned

Mar 7, 2008

Last updated

Jan 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ellen Nona Hoyven, P.T. P.C.

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  • Physical Therapist
  • Tualatin, OR
  • NPI 1073547923
  NPD (past)
• North Lake Physical Therapy and Rehabilitation, Inc.

  • Physical Therapist
  • Portland, OR
  • NPI 1376810671
  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1144490913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22448 SW 104TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627595",
            "telephone_number": "503-780-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16195 SW 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247766",
            "telephone_number": "503-619-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ADAM",
        "middle_name": "ZACKER",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Bridget Kinealy, MD
• King & Crown LLC (King Dental)
• King Chiropractic Clinic
• Angella Michelle King Cole, PMHNP-BC
• King Professional Chiropractic Care PC (King Chiropractic Clinic SE)
• Aleshia King, C.A.D.C. I
• Alicia Jolyn King
• Arden E King, RDH
• Ashley Taylor King, DO
• Barbara Ellen King, PT

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.