Mary Katherine Adams, PT
Individual provider Active NPI Physical Therapist · Mobile, AL
NPI 1174629430 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174629430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTH3787 (AL)
- Practice address
- 3202 Old Shell Rd
Mobile, AL 36607-2505 - Phone
- (251) 450-0070
- Fax
- (251) 450-0072
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3787 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physical Therapy, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3787 | AL | Yes |
Addresses
Primary practice location
3202 Old Shell Rd
Mobile, AL 36607-2505
Mailing address
1904 Hickory Knot CT
Mobile, AL 36609-3581
Phone (251) 665-0102
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.