Individual provider Active NPI

Adam Lee Nadler, MPT

  • Physical Therapist
  • Orange, CA
National Provider Identifier
1205064920
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35652 Issued in CA
Practice address
894 W Town and Country Rd
Building F
Orange, CA 92868-4712
Phone
(714) 547-1140
Fax
(714) 547-1144
NPI assigned
Jul 1, 2009
Last updated
May 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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 35652 CA Primary

Addresses

Primary practice location

894 W Town and Country Rd
Building F
Orange, CA 92868-4712

Mailing address

894 W Town and Country Rd
Building F
Orange, CA 92868-4712
Phone (714) 547-1140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091125000112 CA Practitioner - Physical Therapist in Private Practice 6305985748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Physical Therapy IncGroup PAC ID 0840193561, 5 clinicians

Practice addresses (Care Compare)

19032 Magnolia St
Huntington Beach, CA 92646-2232
Phone (714) 968-3003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35652CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Homeworks Physical Therapy Inc Physical Therapist CurrentSince Jun 1, 2016 Accepting new patients
Magnolia Physical Therapy, Inc CurrentSince Aug 2, 2021 Accepting new patients

Locations

19032 Magnolia St
Huntington Beach, CA 92646
Phone (714) 968-3003

Organizations & group practices 3

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1205064920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 W TOWN AND COUNTRY RD",
            "address_2": "BUILDING F",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684712",
            "telephone_number": "714-547-1140",
            "fax_number": "714-547-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 W TOWN AND COUNTRY RD",
            "address_2": "BUILDING F",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684712",
            "telephone_number": "714-547-1140",
            "fax_number": "714-547-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADLER",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.