Individual provider Active NPI

Adam Brian Fujita, DPT, PT

  • Physical Therapist
  • Holland, MI
National Provider Identifier
1194050641
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014825 Issued in MI
Practice address
453 136TH Ave
Holland, MI 49424-1829
Phone
(616) 796-6781
Fax
(616) 796-6782
NPI assigned
Oct 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4715 NV
Physical Therapist 225100000X 5501014825 MI Primary

Addresses

Primary practice location

453 136TH Ave
Holland, MI 49424-1829

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

3155 W Craig Rd Ste 120-140
North Las Vegas, NV 89032-0782
Phone (702) 639-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN, NV, IL, SC, MA, PA, NC, CA, TX, OH, WA12 enrollments

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
I20100125000805 MI Practitioner - Physical Therapist in Private Practice 6406998707 Reassigns benefits to 2 organizations
I20211103002792 IN Practitioner - Physical Therapist in Private Practice 6406998707 Reassigns benefits to 1 organization
I20211220001656 NV Practitioner - Physical Therapist in Private Practice 6406998707 Reassigns benefits to 1 organization
I20220309000766 IL Practitioner - Physical Therapist in Private Practice 6406998707 Reassigns benefits to 1 organization
I20220418000146 SC Practitioner - Physical Therapist in Private Practice 6406998707 Reassigns benefits to 2 organizations
I20231222000383 MA Practitioner - Physical Therapist in Private Practice 6406998707 Reassigns benefits to 2 organizations
I20240215002384 PA Practitioner - Physical Therapist in Private Practice 6406998707 Reassigns benefits to 2 organizations
I20240628002424 NC Practitioner - Physical Therapist in Private Practice 6406998707 Reassigns benefits to 1 organization
I20251002003756 CA Practitioner - Physical Therapist in Private Practice 6406998707 Reassigns benefits to 1 organization
I20260326003452 TX Practitioner - Physical Therapist in Private Practice 6406998707 Reassigns benefits to 1 organization
I20260409003512 OH Practitioner - Physical Therapist in Private Practice 6406998707 Reassigns benefits to 1 organization
I20260519002928 WA Practitioner - Physical Therapist in Private Practice 6406998707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Performance Rehabilitation of Western New England LLCGroup PAC ID 7911979950, 201 clinicians
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians
Athletic and Therapeutic Institute of Bourbonnais, LLCGroup PAC ID 4183692577, 171 clinicians
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians
Michigan Rehabilitation Specialists of Fowlerville LLCGroup PAC ID 6204730393, 125 clinicians
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

101 University Dr
Suite A6
Amherst, MA 01002-2385
Phone (413) 336-5703

11620 97TH LN NE
Kirkland, WA 98034-4269
Phone (425) 820-0869

1275 N Convent St
Suite 3
Bourbonnais, IL 60914-8211
Phone (815) 936-1855

14 McGrath Hwy
Unit 5
Somerville, MA 02143-4505
Phone (617) 284-9418

1941 Savage Rd
Suite 300a
Charleston, SC 29407-4790
Phone (843) 402-1495

2036 E Beltline Ave NE a
Ati Physical Therapy
Grand Rapids, MI 49525-8702
Phone (616) 885-1194

3080 Caton Farm Rd
Joliet, IL 60435-1455
Phone (815) 254-3901

3082 Caton Farm Rd
Joliet, IL 60435-1455
Phone (815) 577-9936

3155 W Craig Rd
Suite 140
North Las Vegas, NV 89032-0783
Phone (702) 639-2333

4015 Lemmon Ave
Dallas, TX 75219-3737
Phone (469) 872-7461

5620 Michigan Rd
Suite a
Indianapolis, IN 46228-1750
Phone (317) 454-8593

9241 University Blvd
Suite B1
North Charleston, SC 29406-9349
Phone (843) 764-4887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Mar 30, 2022 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Dec 1, 2021 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Sep 6, 2021 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Mar 30, 2022 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Oct 28, 2021 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Mar 30, 2022 Accepting new patients
Proaxis Therapy NC, LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Nov 30, 2021 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Nov 30, 2021 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 25, 2024 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Mar 30, 2022 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Sep 6, 2021 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 25, 2024 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Oct 28, 2021 Accepting new patients
Proaxis Therapy SC, LLC Physical Therapist Past Accepting new patients
PT 360 Physical Therapy, PLC Physical Therapist PastSince Nov 1, 2016 Accepting new patients

Locations (25 of 43)

1280 Corona Pointe Ct
Ste 118
Corona, CA 92879
Phone (951) 304-3402

521 E Elder St
Ste 106
Fallbrook, CA 92028
Phone (760) 723-8337

24021 Alessandro Blvd
Ste 109
Moreno Valley, CA 92553
Phone (951) 485-4594

25150 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 698-7720

38605 Calistoga Dr
Ste 140
Murrieta, CA 92563
Phone (951) 304-0879

11276 5th St
Ste 400
Rch Cucamonga, CA 91730
Phone (909) 481-0437

6850 Brockton Ave
Ste 212
Riverside, CA 92506
Phone (951) 534-0600

29645 Rancho California Rd
Ste 121
Temecula, CA 92591
Phone (951) 676-0296

12402 Industrial Blvd
Ste B2
Victorville, CA 92395
Phone (760) 955-6061

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

33202 Collection Ctr Dr
Chicago, IL 60693

33299 Collection Ctr Dr
Chicago, IL 60693

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

5620 Michigan Rd
#A
Indianapolis, IN 46228
Phone (317) 454-8593

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

1 Kendall Sq
Ste B14104
Cambridge, MA 02139
Phone (617) 491-0264

7820 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (240) 831-7664

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1194050641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 136TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241829",
            "telephone_number": "616-796-6781",
            "fax_number": "616-796-6782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3155 W Craig Rd Ste 120-140",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890320782",
            "country_code": "US",
            "telephone_number": "702-639-2333",
            "fax_number": "702-639-2334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUJITA",
        "first_name": "ADAM",
        "middle_name": "BRIAN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4715",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.