Marco Antonio Adame' Jr., DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33076 Issued in CA

Practice address

500 W Glenoaks Blvd
Glendale, CA 91202

Phone

(818) 637-2127

NPI assigned

Nov 22, 2006

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 HI

Enrollment records 1

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 and National Provider Directory roles.

• Jaco Rehab Honolulu Limited Partnership

  • Physical Therapist
  • Honolulu, HI
  • NPI 1265073878
  Medicare reassignment NPD
• Jaco Rehab Kapolei Limited Partnership

  • Physical Therapist
  • Kapolei, HI
  • NPI 1437790052
  Medicare reassignment NPD
• Jaco Rehab Mililani Limited Partnership

  • Physical Therapist
  • Mililani, HI
  • NPI 1700427325
  Medicare reassignment NPD
• Jaco Rehab Waikele Limited Partnership

  • Physical Therapist
  • Waipahu, HI
  • NPI 1629619234
  Medicare reassignment NPD
• Wellspring Therapy Inc

  • Customized Equipment (DME)
  • Glendale, CA
  • NPI 1801001508
  NPD (past)
• Wellspring Therapy, Inc

  • Physical Therapist
  • Glendale, CA
  • NPI 1538266002
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205901352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 W SAN BERNARDINO RD APT 262",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917224406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91202",
            "telephone_number": "818-637-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAME'",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_suffix": "Jr.",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acumen Home Health
• Acupuncture Help Center Inc.
• Acute Care Home Health, Inc.
• Daisy P. Ada, RN
• Mark Michio Adachi, DC
• Alex Christopher Adamian, MD
• Ellen Adamian
• Joseph Adamian
• Giselle Raveena Adams, NONE
• Meagan L Adams, FAMILY NURSE PRACTIT

• Physical Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.