Adam B. Kershaw, MPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010619 Issued in WA

Practice address

6108 NW Spectrum CT
Bremerton, WA 98312-6126

Phone

(360) 479-8477

NPI assigned

Aug 12, 2006

Last updated

Feb 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportsmed Physical Therapy of Bountiful a Professional CorpGroup PAC ID 2668462045, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sportsmed Physical Therapy of Bountiful a Professional Corp

  • Physical Therapy Clinic/Center
  • Bountiful, UT
  • NPI 1215119870
  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  dba Intermountain Physical Therapy and Rehabilitation

  • Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033822085

  Physical Therapist

  Medicare reassignment NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Wyoming Specialized Physical Therapy Inc.

  • Physical Therapist
  • Evanston, WY
  • NPI 1336151265
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1205848223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 NW SPECTRUM CT",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983126126",
            "telephone_number": "360-479-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 NW SPECTRUM CT",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983126126",
            "telephone_number": "360-479-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHAW",
        "first_name": "ADAM",
        "middle_name": "B.",
        "credential": "MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Kendrick
• Kathryn Kennedy, DO
• Kenneth R. Koskella, MD, Inc
• Christopher Kerr, DDS
• Destiny Kerr
• Kim Ann Kessell
• Daelie Keuter
• Mary Khalil, RPH
• Afia Khan
• Kayla Kibodeaux

• Physical Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.